Mrs Theonna Monique Hindmon-harris, NURSE PRACTITIONER - Medicare Nurse Practitioner in Southfield, MI

Mrs Theonna Monique Hindmon-harris, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Southfield, Michigan. Her current practice location is 21700 Northwestern Hwy Ste 815, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 557-3337.

Mrs Theonna Monique Hindmon-harris is licensed to practice in Michigan (license number 4704277378) 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 1003381500.

Contact Information

Mrs Theonna Monique Hindmon-harris, NURSE PRACTITIONER
21700 Northwestern Hwy Ste 815,
Southfield, MI 48075-4922
(248) 557-3337
(248) 557-3339

Map and Direction




Provider's Profile

Full NameMrs Theonna Monique Hindmon-harris
GenderFemale
SpecialityNurse Practitioner - Family
Location21700 Northwestern Hwy Ste 815, Southfield, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003381500
  • Provider Enumeration Date: 10/10/2018
  • Last Update Date: 10/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3577805837
  • Enrollment ID: I20190507001254

Medical Identifiers

Medical identifiers for Mrs Theonna Monique Hindmon-harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003381500NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704277378 (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 Theonna Monique Hindmon-harris allows following entities to bill medicare on her behalf.
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336153295
PECOS PAC ID: 9234041948
Enrollment ID: O20031103000102
Entity NameDavid Criss Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356998397
PECOS PAC ID: 8123350642
Enrollment ID: O20191101000089

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 Theonna Monique Hindmon-harris 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 Theonna Monique Hindmon-harris, NURSE PRACTITIONER
21700 Northwestern Hwy Ste 815,
Southfield, MI 48075-4922

Ph: (248) 557-3337
Mrs Theonna Monique Hindmon-harris, NURSE PRACTITIONER
21700 Northwestern Hwy Ste 815,
Southfield, MI 48075-4922

Ph: (248) 557-3337

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.