MEDICARE: TIMOTHY P PAGE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	TP063398	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0F37296005	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	381867275	OTHER		PPOM
3	381867275	OTHER		AETNA
4	381867275	OTHER		HARRINGTON BENEFITS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	381867275	OTHER		WPS TRICARE FOR LIFE
7	381867275	OTHER		FIRST HEALTH
8	G76707	OTHER		HAP
9	381867275	OTHER		CIGNA
10	381867275	OTHER		GREAT LAKES
11	381867275	OTHER		UNITED HEALTHCARE
12	0F37296	OTHER	MI	BCBSM
13	C6939	OTHER		MCARE
14	180F372960	OTHER		BLUE CARE NETWORK

General Provider Information

NPI Number	:	1659365443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY P PAGE M.D.

Provider Business Mailing Address
First Line	:	800 S ADAMS RD
Second Line	:	SUITE 201
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-7005
Country	:	US
Telephone Number	:	248-644-8060
Fax Number	:	248-644-5081

Provider Business Practice Location Address
First Line	:	800 S ADAMS RD
Second Line	:	SUITE 201
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-7005
Country	:	US
Telephone Number	:	248-644-8060
Fax Number	:	248-644-5081

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	10/27/2020

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Directions to “ TIMOTHY P PAGE M.D.” Practice Location

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