MEDICARE: TROY E. PASCOE 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	207R00000X	Internal Medicine Physician	4301068448	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	TP068448	OTHER	MI	BCBSM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619979838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TROY E. PASCOE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 343
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48480-0343
Country	:	US
Telephone Number	:	810-706-6126
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 NORTH AVE
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49017-3307
Country	:	US
Telephone Number	:	269-245-8560
Fax Number	:

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	09/26/2024

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