| Latasha Keller, | |
|
111 W 7 Mile Rd, Detroit, MI 48203-1968 | |
| (313) 369-2600 | |
| Not Available |
| Full Name | Latasha Keller |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 3 Years |
| Location | 111 W 7 Mile Rd, Detroit, 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 |
|---|---|---|---|
| 1023886751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 4704309517 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Detroit Community Health Connection Inc | 9234021148 | 17 |
| Entity Name | Detroit Community Health Connection Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982611562 PECOS PAC ID: 9234021148 Enrollment ID: O20040326000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Latasha Keller, 24463 Millstream, Novi, MI 48375-2971 Ph: () - | Latasha Keller, 111 W 7 Mile Rd, Detroit, MI 48203-1968 Ph: (313) 369-2600 |
Asia Joyner, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 Fax: 313-916-7437 | |
Rebecca Catherine Harris, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 4201 Saint Antoine St, Suite 4c, Detroit, MI 48201 Phone: 313-745-4525 Fax: 313-745-4399 | |
Julie Mckinley, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3980 John R, Detroit, MI 48201 Phone: 888-362-2500 | |
Ivy Omorodion, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Rosemarie Kaurala, MSN CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 15400 W Mcnichols Rd, Detroit, MI 48235 Phone: 313-416-6262 | |
Sara Gilbertson Gilbertson, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-953-9446 |