MEDICARE: PAIGE E PATTERSON MD

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	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	0101052632	VA
2	207Q00000X	Family Medicine Physician	0101052632	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C00075	OTHER	VA	MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	210061	OTHER	VA	ANTHEM
4	2119594	OTHER	VA	MAMSI
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	41213	OTHER	VA	OPTIMA HEALTH SENTARA
7	502803	OTHER	VA	NCPPO

General Provider Information

NPI Number	:	1821077199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE E PATTERSON MD

Provider Business Mailing Address
First Line	:	300 WESTMINSTER CANTERBURY DR
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22603-4216
Country	:	US
Telephone Number	:	540-665-5929
Fax Number	:	540-665-1254

Provider Business Practice Location Address
First Line	:	300 WESTMINSTER CANTERBURY DR
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22603-4216
Country	:	US
Telephone Number	:	540-665-5929
Fax Number	:	540-665-1254

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

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	08/08/2022

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Directions to “ PAIGE E PATTERSON MD” Practice Location

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