| Keiva L Bland, MD | |
|
1 William Carls Dr # G-131, Commerce Township, MI 48382-2201 | |
| (248) 242-7330 | |
| (248) 242-5616 |
| Full Name | Keiva L Bland |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 26 Years |
| Location | 1 William Carls Dr # G-131, Commerce Township, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467540732 | NPI | - | NPPES |
| P00375089 | Other | AR | RAILROAD MEDICARE |
| 163267001 | Medicaid | AR | |
| 06090017100 | Other | AR | QUALCHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | E-4903 (Arkansas) | Secondary |
| 208600000X | Surgery | 35148075 (Ohio) | Primary |
| 208600000X | Surgery | 4301076706 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy St Vincent Medical Center | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians North Specialty Care Llc | 1951707884 | 309 |
| Entity Name | Mercy Health Physicians North Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
| Mailing Address | Practice Location Address |
|---|---|
| Keiva L Bland, MD 1 William Carls Dr Ste G-131, Commerce Township, MI 48382-2201 Ph: (248) 242-7330 | Keiva L Bland, MD 1 William Carls Dr # G-131, Commerce Township, MI 48382-2201 Ph: (248) 242-7330 |
Farris Gulli, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 William Carls Dr, Commerce Township, MI 48382 Phone: 248-937-3300 | |
Dr. Kenneth Wolf, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1990 Union Lake Rd Ste 200, Commerce Township, MI 48382 Phone: 248-363-9413 | |
John Daniel Webber, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 William Carls Dr Ste G-131, Commerce Township, MI 48382 Phone: 248-242-7330 Fax: 248-242-5616 | |
Dr. Catherine Legalley, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 William Carls Dr, Commerce Township, MI 48382 Phone: 248-937-3335 | |
Stephanie Joy Cole, DO Surgery Medicare: Medicare Enrolled Practice Location: 1 William Carls Dr Ste G131, Commerce Township, MI 48382 Phone: 248-242-7330 Fax: 248-242-5616 |