MONIQUE MANA
NPI 1902421373
Physician Assistant in Detroit, MI

Q: What is Monique Mana's NPI number?

The NPI number for Monique Mana is 1902421373. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Q: What is Monique Mana's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Monique Mana was last updated on January 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 11, 2020PECOS EnrolledAccepts Medicare Assignment

259 MACK AVE, DETROIT, MI 48201(586) 344-6768 Get Directions Write a Review

NPPES record last updated: January 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2021, Dec 10, 2020, Jun 11, 2020 (3 updates tracked since 2020).

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About Monique Mana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONIQUE MANA (NPI 1902421373) is an individual physician assistant in Detroit, Michigan and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Wayne State University School Of Medicine (2020).

NPPES Registry Identity

NPI1902421373

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMONIQUE MANA

Location Address259 MACK AVEDetroit, MI 48201-2427

Mailing Address28345 Marcia AveWarren, MI 48093-7209 · (586) 344-6768

Phone(586) 344-6768

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2020

Enumeration DateJune 11, 2020

Last NPPES UpdateJanuary 2, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2021

✔ NPI 1902421373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

259 MACK AVE, Detroit, MI 48201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Monique Mana is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062818719

PECOS Enrollment IDI20210907000628

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230019

Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNABEL SHAMMAMI

Physician Assistant