Detroit Community Health Connection Inc
A Medicare group practice based in Detroit, MI: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 9234021148), with 23 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9234021148
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 8
- Group size
- 16 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 14
Enrollment records 8
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040326000067 | MI | Part B Supplier - Clinic/Group Practice | 1982611562 |
| O20080626000326 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1982611562 |
| O20080718000675 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1851554034 |
| O20080718000650 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1275796468 |
| O20080718000664 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1790948982 |
| O20080718000670 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1053574236 |
| O20190218001615 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1588137376 |
| O20140212000869 | MI | Part A Provider - Federally Qualified Health Center (FQHC) | 1063790186 |
NPIs in this group 8
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Detroit Community Health Connection, Inc
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1053574236
-
Detroit Community Health Connection, Inc
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1063790186
-
Detroit Community Health Connection, Inc
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1275796468
-
Detroit Community Health Connection, Inc
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1588137376
-
Detroit Community Health Connection, Inc
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1790948982
-
Detroit Community Health Connection, Inc
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1851554034
-
Detroit Community Health Connection, Inc.
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1982611562
-
Detroit Community Health Connection, Inc
- Multi-Specialty Clinic/Center
- Detroit, MI
- NPI 1174906184
Practice locations
- Detroit, MI14
Clinicians 23
Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (16).
-
Anita Cain, MD
- Internal Medicine Physician
- Detroit, MI
- NPI 1467588483
-
Earl Gerald Garcia Carlos, DO
- Family Medicine Physician
- Detroit, MI
- NPI 1336595040
-
Jessica Lynn Douglas-Daniel, DNP, FNP-BC, FNP-C
- Family Nurse Practitioner
- Troy, MI
- NPI 1851884621
-
Alan F Green, M.D
- Internal Medicine Physician
- Detroit, MI
- NPI 1275611667
-
Misty Head, CNM, WHNP-BC
- Advanced Practice Midwife
- Detroit, MI
- NPI 1194504035
-
William Luke Jordan, M.D.
- Obstetrics & Gynecology Physician
- Oak Park, MI
- NPI 1497744932
-
Latasha Keller
- Advanced Practice Midwife
- Detroit, MI
- NPI 1023886751
-
Robert Lagrou, D.O.
- Psychiatry Physician
- Clarkston, MI
- NPI 1629279351
-
Christyne Ella Lawson, M.D.
- Family Medicine Physician
- Bingham Farms, MI
- NPI 1063522506
-
Lameitre Camille Lockhart-Walker, MD
- Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
- Southfield, MI
- NPI 1053533257
-
Barbara McCloud
- Clinical Social Worker
- Detroit, MI
- NPI 1679717268
-
Ruby Nzoma, FNP
- Family Nurse Practitioner
- Detroit, MI
- NPI 1609414218
-
Cheryl K Perkins
- Family Nurse Practitioner
- Troy, MI
- NPI 1891570917
-
Gouri Ramesh, M.D.
- Pediatric Adolescent Medicine Physician
- Detroit, MI
- NPI 1982634119
-
Lisa Marie Randon, M.D.
- Pediatrics Physician
- Detroit, MI
- NPI 1316088644
-
Evonne Renee Richardson, FNP-C
- Family Nurse Practitioner
- Southfield, MI
- NPI 1457875247
-
Sara Laith Sara, M.D.
- Internal Medicine Physician
- Toledo, OH
- NPI 1962814160
-
Christopher Serrone, FNP
- Family Nurse Practitioner
- Chandler, AZ
- NPI 1366830945
-
Charlene Smith, MD
- Pediatrics Physician
- Detroit, MI
- NPI 1750418083
-
Ronaldo B Supena, MD
- Infectious Disease Physician
- Detroit, MI
- NPI 1275576886
-
Kelli Cierra Wall, RDN
- Registered Dietitian
- Detroit, MI
- NPI 1508511122
-
Michael White Jr.
- Psychiatric/Mental Health Nurse Practitioner
- Detroit, MI
- NPI 1518379650
-
Charlene Vee Williams, M.D.
- Obstetrics & Gynecology Physician
- Huntington Woods, MI
- NPI 1548462591
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.