| Aimergency Connectcare, LLC | |
|
613 S Highway 78 Ste 200 Wylie TX 75098-5525 | |
| (561) 231-0536 | |
| Not Available |
| Full Name | Aimergency Connectcare, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 613 S Highway 78 Ste 200, Wylie, Texas |
| Authorized Official Name and Position | Alexis Daly (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5612310536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aimergency Connectcare, LLC Po Box 132 Covington GA 30015-0132 Ph: (561) 231-0536 | Aimergency Connectcare, LLC 613 S Highway 78 Ste 200 Wylie TX 75098-5525 Ph: (561) 231-0536 |
| NPI Number | 1508546755 |
|---|---|
| Provider Enumeration Date | 07/21/2023 |
| Last Update Date | 06/17/2026 |
| Certification Date | 06/17/2026 |
| Medicare PECOS PAC ID | 8921454083 |
|---|---|
| Medicare Enrollment ID | O20231025002213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508546755 | NPI | - | NPPES |
| Provider Name | Jossie Aliyah Mccloud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033161799 PECOS PAC ID: 0941250120 Enrollment ID: I20050125001088 |
| Provider Name | Habib Ur-rehman Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346389541 PECOS PAC ID: 0446355192 Enrollment ID: I20070425000224 |
| Provider Name | Tiffany Marie Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033864707 PECOS PAC ID: 2062808637 Enrollment ID: I20220407000653 |
| Provider Name | Nakisha a Kinlaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093193542 PECOS PAC ID: 9436434248 Enrollment ID: I20220701001797 |
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