Detroit Community Health Connection, Inc. - Medicare Primary Care in Detroit, MI

  1. Home
  2. Primary Care Clinics
  3. MI
  4. Detroit
Detroit Community Health Connection, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Detroit, Michigan. The current practice location for Detroit Community Health Connection, Inc. is 13901 E Jefferson Ave, Detroit, Michigan. For appointments, you can reach them via phone at (313) 822-0900. The mailing address for Detroit Community Health Connection, Inc. is 13901 E Jefferson Ave, Detroit, Michigan and phone number is (313) 821-2591.

Detroit Community Health Connection, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1982611562. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (313) 822-0900.

Contact Information

Detroit Community Health Connection, Inc.
13901 E Jefferson Ave
Detroit
MI 48215-2720
(313) 822-0900
(313) 822-0950

Map and Direction


Primary Care Clinic Profile

Full NameDetroit Community Health Connection, Inc.
SpecialityClinic/Center
Location13901 E Jefferson Ave, Detroit, Michigan
Authorized Official Name and PositionMahipal Rao Kakarala (CFO)
Authorized Official Contact3138212591
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Detroit Community Health Connection, Inc.
13901 E Jefferson Ave
Detroit
MI 48215-2720

Ph: (313) 821-2591		Detroit Community Health Connection, Inc.
13901 E Jefferson Ave
Detroit
MI 48215-2720

Ph: (313) 822-0900

NPI Details:

NPI Number1982611562
Provider Enumeration Date08/03/2006
Last Update Date06/24/2015

Medicare PECOS Information:

Medicare PECOS PAC ID9234021148
Medicare Enrollment IDO20040326000067

Medical Identifiers

Medical identifiers for Detroit Community Health Connection, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982611562NPI-NPPES
1992196MedicaidMI
1982611562OtherNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Detroit Community Health Connection, Inc. acts as a billing entity for following providers:
Provider NameAlan F Green
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275611667
PECOS PAC ID: 7416859418
Enrollment ID: I20040121000757
Provider NameWilliam L Jordan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1497744932
PECOS PAC ID: 0840181491
Enrollment ID: I20050930000148
Provider NameRonaldo B Supena
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1275576886
PECOS PAC ID: 3476565680
Enrollment ID: I20060706000242
Provider NameMilagros P Reyes
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1386684843
PECOS PAC ID: 7911919162
Enrollment ID: I20060707000076
Provider NameLisa M Randon
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1316088644
PECOS PAC ID: 7810085792
Enrollment ID: I20071109000313
Provider NameCharlene V Williams
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1548462591
PECOS PAC ID: 1052495975
Enrollment ID: I20080229000508
Provider NameChristyne Lawson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063522506
PECOS PAC ID: 5991743379
Enrollment ID: I20080703000054
Provider NameJacqueline Montalvo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871679316
PECOS PAC ID: 2961567748
Enrollment ID: I20090211000036
Provider NameBarbara J Mccloud
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1679717268
PECOS PAC ID: 9739216342
Enrollment ID: I20100429000749
Provider NameGouri Ramesh
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1982634119
PECOS PAC ID: 9335389964
Enrollment ID: I20130702000793
Provider NameLavetta Pickens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295073773
PECOS PAC ID: 3779723614
Enrollment ID: I20130717000374
Provider NameAnita L Cain
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467588483
PECOS PAC ID: 9931342888
Enrollment ID: I20130826000545
Provider NameJessica Simone Fladger
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1528455219
PECOS PAC ID: 3971823535
Enrollment ID: I20150521001128
Provider NameCharlene M Smith
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1750418083
PECOS PAC ID: 8729335724
Enrollment ID: I20180723001382
Provider NameJessica Douglas-daniel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851884621
PECOS PAC ID: 3678820289
Enrollment ID: I20180726003257
Provider NameCaitlin Elizabeth Vanderwindt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487059069
PECOS PAC ID: 6406170075
Enrollment ID: I20190124002407
Provider NameSara Laith Sara
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962814160
PECOS PAC ID: 5890088496
Enrollment ID: I20191003002710
Provider NameAngela Jayne Wolf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144774472
PECOS PAC ID: 0143630129
Enrollment ID: I20201103000233
Provider NameKelli Cierra Wall
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1508511122
PECOS PAC ID: 5698153989
Enrollment ID: I20220526002637
Provider NameRuby N Nzoma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609414218
PECOS PAC ID: 7517323736
Enrollment ID: I20230515000313
Provider NameCheryl K Perkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891570917
PECOS PAC ID: 2365896453
Enrollment ID: I20230922001957
Provider NameMisty Head
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1194504035
PECOS PAC ID: 2062863772
Enrollment ID: I20240108000374
Provider NameLatasha Keller
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1023886751
PECOS PAC ID: 4183068901
Enrollment ID: I20240221000264

Reviews and Comments


Clinic/Center in Detroit, MI


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 8333 Townsend St, Detroit, MI 48213
Phone: 313-831-3160    

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7800 W Outer Dr, Suite 230, Detroit, MI 48235
Phone: 313-535-0900    Fax: 313-535-3810
St. John Hospital And Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 22101 Moross Rd, Detroit, MI 48236
Phone: 586-753-0011    

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3426 Mack Avenue, Detroit, MI 48207
Phone: 313-849-3920    
Health Care Medical Center Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 17141 Hayes St, Detroit, MI 48205
Phone: 313-245-1700    Fax: 313-245-1701
Mizrahi Medicine
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 7633 E Jefferson Ave Ste 250, Detroit, MI 48214
Phone: 313-821-3338    Fax: 313-823-5363
T L Sea Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 15201 W Mcnichols Rd, Detroit, MI 48235
Phone: 313-516-3142    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.