Kenisha Jean Evans, MD in Southfield, MI - Medicare Internal Medicine

Kenisha Jean Evans, MD is a medicare enrolled "Internal Medicine" physician in Southfield, Michigan. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Theoria Medical, Total Health Care Management and her current practice location is 17260 W 10 Mile Rd, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 809-6553.

Kenisha Jean Evans is licensed to practice in Michigan (license number 4301502815) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447770722.

Contact Information

	Kenisha Jean Evans, MD
	17260 W 10 Mile Rd, Southfield, MI 48075-2949
	(248) 809-6553
	(248) 809-6583

Map and Direction

Physician's Profile

Full Name	Kenisha Jean Evans
Gender	Female
Speciality	Internal Medicine
Experience	8 Years
Location	17260 W 10 Mile Rd, Southfield, 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.

Medical Education and Training:

Kenisha Jean Evans graduated from medical school in 2017

NPI Data:

NPI Number: 1447770722
Provider Enumeration Date: 06/27/2017
Last Update Date: 02/06/2025

Medicare PECOS Information:

PECOS PAC ID: 1951671965
Enrollment ID: I20240124001781

Medical Identifiers

Medical identifiers for Kenisha Jean Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447770722	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	4301502815 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Compassus - Lansing	Lansing, MI	Hospice
Regency At Lansing West	Lansing, MI	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Theoria Medical	5395098339	414
Total Health Care Management	5597179291	2

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. Kenisha Jean Evans allows following entities to bill medicare on her behalf.

Entity Name	Theoria Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127

Entity Name	Total Health Care Management
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407489289 PECOS PAC ID: 5597179291 Enrollment ID: O20210120001812

Entity Name	Ltc Physician Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841991817 PECOS PAC ID: 8224496575 Enrollment ID: O20230620001465

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. Kenisha Jean Evans 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
Kenisha Jean Evans, MD 23894 White Pine St, Flat Rock, MI 48134-2303 Ph: (248) 721-6839	Kenisha Jean Evans, MD 17260 W 10 Mile Rd, Southfield, MI 48075-2949 Ph: (248) 809-6553

Reviews and Comments

Internal Medicine Doctors in Southfield, MI

Surinder Mendiratta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20905 Greenfield Rd, Suite 502, Southfield, MI 48075 Phone: 248-395-2888 Fax: 248-395-2891
Dr. Freddy R Sosa, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr, Suite 703, Southfield, MI 48075 Phone: 248-569-1770 Fax: 248-443-2439
Thomas A Mladsi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29201 Telegraph Rd, Suite 460, Southfield, MI 48034 Phone: 248-206-7511 Fax: 248-206-7455
Kun Kil Yu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19189 W 10 Mile Rd, Ste 200, Southfield, MI 48075 Phone: 248-948-7985 Fax: 248-948-9031
Dr. Vilma Drelichman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22301 Foster Winter Dr, 2nd Floor, Southfield, MI 48075 Phone: 248-552-0620 Fax: 248-552-0286
Dr. Sumner Camisa, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29829 Telegraph Road, #100, Southfield, MI 48034 Phone: 248-355-3033 Fax: 248-355-4936
Talal Taher Khader, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 4th Fl Fisher Ctr, Southfield, MI 48075 Phone: 248-849-8483

Kenisha Jean Evans, MD - Medicare Internal Medicine in Southfield, MI