Aisha Khan, MD | |
11751 Alta Vista Rd, Ste 103, Fort Worth, TX 76244-6441 | |
(972) 691-4100 | |
Not Available |
Full Name | Aisha Khan |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 25 Years |
Location | 11751 Alta Vista Rd, Fort Worth, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548450539 | NPI | - | NPPES |
281353702 | Other | TX | MEDICAID EP1 |
281356001 | Medicaid | TX | |
281353701 | Other | TX | MEDICAID GROUP TPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | N8672 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Heal 360 Urgent Care Llc | 0547487779 | 5 |
Heal 360 Primary Care Pllc | 4688972052 | 7 |
Entity Name | Heal 360 Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295165967 PECOS PAC ID: 0547487779 Enrollment ID: O20140813000102 |
Entity Name | Heal 360 Primary Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588022800 PECOS PAC ID: 4688972052 Enrollment ID: O20160419000582 |
Entity Name | Aisha Khan Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881376762 PECOS PAC ID: 7911369590 Enrollment ID: O20230814002576 |
Mailing Address | Practice Location Address |
---|---|
Aisha Khan, MD 11751 Alta Vista Rd, Ste 103, Fort Worth, TX 76244-6441 Ph: (972) 691-4100 | Aisha Khan, MD 11751 Alta Vista Rd, Ste 103, Fort Worth, TX 76244-6441 Ph: (972) 691-4100 |
Jonathan A Lazarini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 903-353-2265 | |
Mrs. Adeline Galvez, Family Medicine Medicare: Medicare Enrolled Practice Location: 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104 Phone: 817-250-4987 | |
Fomundam Newnton Mbuh, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 4759 South Fwy Ste 101, Fort Worth, TX 76115 Phone: 817-382-0005 | |
Dr. Joane Baumer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Family Medicine Center, Fort Worth, TX 76104 Phone: 817-335-1034 | |
Evelyn Tobias-merrill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 Stadium Dr, Fort Worth, TX 76109 Phone: 817-257-7940 | |
Dr. Michael David Carletti, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-0278 | |
Jonathan Patrick Angel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Beach St Ste 104, Fort Worth, TX 76111 Phone: 817-831-1750 Fax: 817-831-1750 |