| Careconnectmd Tennessee Pc | |
|
6000 Poplar Ave Ste 250 Memphis TN 38119-3974 | |
| (888) 789-9585 | |
| (562) 803-4500 |
| Full Name | Careconnectmd Tennessee Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6000 Poplar Ave Ste 250, Memphis, Tennessee |
| Authorized Official Name and Position | Orlando Acosta Collado (OWNER) |
| Authorized Official Contact | 8887899585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnectmd Tennessee Pc 3090 Bristol St Ste 200 Costa Mesa CA 92626-3061 Ph: (888) 789-9585 | Careconnectmd Tennessee Pc 6000 Poplar Ave Ste 250 Memphis TN 38119-3974 Ph: (888) 789-9585 |
| NPI Number | 1235857681 |
|---|---|
| Provider Enumeration Date | 08/19/2022 |
| Last Update Date | 08/19/2022 |
| Medicare PECOS PAC ID | 9436523644 |
|---|---|
| Medicare Enrollment ID | O20230329001222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235857681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce A Wallstedt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770578882 PECOS PAC ID: 7810976545 Enrollment ID: I20040716000336 |
| Provider Name | Faiza Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407890593 PECOS PAC ID: 0749385979 Enrollment ID: I20070417000680 |
| Provider Name | Millie A Tremlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598917452 PECOS PAC ID: 6305908799 Enrollment ID: I20081218000481 |
| Provider Name | Leanne Parchman Venable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962684878 PECOS PAC ID: 9739311101 Enrollment ID: I20140616000813 |
| Provider Name | Elisabeth Batson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629472832 PECOS PAC ID: 0749507812 Enrollment ID: I20150330001258 |
| Provider Name | Erin Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023470598 PECOS PAC ID: 5890075303 Enrollment ID: I20161129000852 |
| Provider Name | Rona Darlene Siscoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801272257 PECOS PAC ID: 8921378258 Enrollment ID: I20170719003473 |
| Provider Name | Matthew Abram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780106245 PECOS PAC ID: 9830465418 Enrollment ID: I20171026000834 |
| Provider Name | Elizabeth A Hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821523598 PECOS PAC ID: 0648529032 Enrollment ID: I20180817001638 |
| Provider Name | Sandra Lemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821440017 PECOS PAC ID: 2769776996 Enrollment ID: I20191017000576 |
| Provider Name | Ellesse G Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275292666 PECOS PAC ID: 2466846100 Enrollment ID: I20220223001963 |
| Provider Name | Savina Kimbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578223657 PECOS PAC ID: 7012302870 Enrollment ID: I20220315001638 |
| Provider Name | Jason R Vance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912938234 PECOS PAC ID: 6901813468 Enrollment ID: I20220804003940 |
| Provider Name | Orlando Acosta Collado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205964947 PECOS PAC ID: 8820143134 Enrollment ID: I20230329001869 |
| Provider Name | Angela R Mcknight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750169819 PECOS PAC ID: 2163873258 Enrollment ID: I20240112003692 |
| Provider Name | Liliane Idylle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114298957 PECOS PAC ID: 1355567223 Enrollment ID: I20240725000133 |
| Provider Name | Ling Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396988416 PECOS PAC ID: 7214185826 Enrollment ID: I20250221000677 |
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