| 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 | Erin Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023470598 PECOS PAC ID: 5890075303 Enrollment ID: I20161129000852 |
| Provider Name | Sandra Lemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821440017 PECOS PAC ID: 2769776996 Enrollment ID: I20191017000576 |
| 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 Collado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205964947 PECOS PAC ID: 8820143134 Enrollment ID: I20230329001869 |
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