JOHN D PAGE (P.A.) – Physician Assistant, NPI 1396859062
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JOHN D PAGE (P.A.)
200 Avenue F NE
UFJAX - Dept. of Emergency Medicine
Winter Haven, FL 338814131
Phone: (863) 293-1121
Fax: (863) 291-1121
Type: Location
LVPG EXPRESSCARE MUHLENBERG
2649 SCHOENERSVILLE ROAD SUITE 201
BETHLEHEM, PA 180177316
Phone: (484) 884-8110
Fax: (610) 868-5333
Type: Location
Mack Boulevard, South Poplar, Allentown, Lehigh County, Pennsylvania, 18105, United States
ALLENTOWN, PA 181035622
Phone: (484) 884-0469
Fax: (484) 884-0628
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-04-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100907001022 | I | Physician Assistant | FL | TBD |
| I20140429000663 | I | Physician Assistant | PA | TBD |
| I20180410001693 | I | Physician Assistant | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33881)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CA | |
| - | NJ | |
| - | NJ | |
| - | NJ | |
| - | NJ | |
| - | NJ | |
| - | NJ | |
| - | NJ | |
| - | NJ | |
| - | NY |
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