Bradley Daniel Page, PA is a medicare enrolled "Physician Assistant - Medical" physician in Waycross, Georgia. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Faith Family Practice and his current practice location is
2005 Pioneer St Ste C, Waycross, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 490-7777.
Bradley Daniel Page is licensed to practice in Georgia (license number 004775) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265490098.
Physician's Profile
| Full Name | Bradley Daniel Page |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 18 Years |
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| Location | 2005 Pioneer St Ste C, Waycross, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bradley Daniel Page graduated from medical school in 2006
NPI Data:
- NPI Number: 1265490098
- Provider Enumeration Date: 05/02/2006
- Last Update Date: 02/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 4587667274
- Enrollment ID: I20060818000262
Medical Identifiers
Medical identifiers for Bradley Daniel Page such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265490098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 4755 (Georgia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 004775 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Faith Family Practice | 3072934520 | 5 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley Daniel Page is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Bradley Daniel Page, PA
11608 Central Ave,
Hoboken, GA 31542-2106
Ph: (912) 288-3417 | Bradley Daniel Page, PA
2005 Pioneer St Ste C,
Waycross, GA 31501-6205
Ph: (912) 490-7777 |
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