Dr Latorya Ann Ellison, MD in Southgate, MI

Dr Latorya Ann Ellison, MD is a medicare enrolled "Family Medicine" physician in Southgate, Michigan. Her current practice location is 13667 Eureka Rd, Southgate, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 256-0086.

Dr Latorya Ann Ellison is licensed to practice in Michigan (license number 4351032547) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669963047.

Contact Information

	Dr Latorya Ann Ellison, MD
	13667 Eureka Rd, Southgate, MI 48195-1332
	(734) 256-0086
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Latorya Ann Ellison
Gender	Female
Speciality	Family Medicine
Location	13667 Eureka Rd, Southgate, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669963047
Provider Enumeration Date: 05/22/2018
Last Update Date: 07/29/2022

Medicare PECOS Information:

PECOS PAC ID: 3476808965
Enrollment ID: I20220725002003

Medical Identifiers

Medical identifiers for Dr Latorya Ann Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669963047	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4351032547 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Latorya Ann Ellison allows following entities to bill medicare on her behalf.

Entity Name	Osh-mi Physicians Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700236478 PECOS PAC ID: 7810282191 Enrollment ID: O20160825001362

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Latorya Ann Ellison is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Latorya Ann Ellison, MD Po Box 746723, Atlanta, GA 30374-6723 Ph: (312) 733-9730	Dr Latorya Ann Ellison, MD 13667 Eureka Rd, Southgate, MI 48195-1332 Ph: (734) 256-0086

Reviews and Comments

Family Medicine Doctors in Southgate, MI

Dr. Manish Bolina, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15777 Northline Rd Ste 101, Southgate, MI 48195 Phone: 734-324-9580
Dr. John Renaldson Orelien, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 15777 Northline Rd Ste 202, Southgate, MI 48195 Phone: 734-246-8100
Dr. Amal Mohamed Ali Abdul-hussein, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12815 Northline Rd, Southgate, MI 48195 Phone: 734-284-2090
Sanjukta Sridharan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 15777 Northline Rd Ste 202, Southgate, MI 48195 Phone: 734-246-8100 Fax: 734-324-9527
Aaron J Blanzy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14319 Dix-toledo Rd, Southgate, MI 48195 Phone: 734-285-0677 Fax: 734-285-3574
Dr. Bennett George Riddering, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15777 Northline Rd Ste 202, Southgate, MI 48195 Phone: 734-246-8100 Fax: 734-246-8621
Angela Moughni, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 14319 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-285-0677 Fax: 734-285-3574

Dr Latorya Ann Ellison, MD - Medicare Family Medicine in Southgate, MI