Mrs Keisha Diane Malone, PMHNP-BC - Medicare Nurse Practitioner in Redford, MI

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Mrs Keisha Diane Malone, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Redford, Michigan. Her current practice location is 15611 Fox, Redford, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 207-5843.

Mrs Keisha Diane Malone is licensed to practice in Michigan (license number 4704301992) 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 1366177156.

Contact Information

Mrs Keisha Diane Malone, PMHNP-BC
15611 Fox,
Redford, MI 48239-3976
(313) 207-5843
Not Available

Map and Direction




Provider's Profile

Full NameMrs Keisha Diane Malone
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location15611 Fox, Redford, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366177156
  • Provider Enumeration Date: 07/18/2022
  • Last Update Date: 07/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5193108504
  • Enrollment ID: I20220818000197

Medical Identifiers

Medical identifiers for Mrs Keisha Diane Malone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366177156NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704301992 (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. Mrs Keisha Diane Malone allows following entities to bill medicare on her behalf.
Entity NameMolina Care Connections, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20180320001095
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220824000871

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. Mrs Keisha Diane Malone 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 AddressPractice Location Address
Mrs Keisha Diane Malone, PMHNP-BC
15611 Fox,
Redford, MI 48239-3976

Ph: (313) 207-5843		Mrs Keisha Diane Malone, PMHNP-BC
15611 Fox,
Redford, MI 48239-3976

Ph: (313) 207-5843

Reviews and Comments


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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.

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