| Dr Timothy James Fife, DO | |
| 1000 Monroe Ave Nw, Grand Rapids, MI 49503-1455 | |
| (616) 732-6200 | |
| (616) 732-6255 | 
| Full Name | Dr Timothy James Fife | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Hospice And Palliative Medicine | 
| Location | 1000 Monroe Ave Nw, Grand Rapids, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053399659 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 5101011807 (Michigan) | Secondary | 
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 5101011807 (Michigan) | Primary | 
| Entity Name | Northstar Palliative Care Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033638077 PECOS PAC ID: 6800148677 Enrollment ID: O20181004002356 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Timothy James Fife, DO 1000 Monroe Ave Nw, Grand Rapids, MI 49503-1455 Ph: (616) 732-6200 | Dr Timothy James Fife, DO 1000 Monroe Ave Nw, Grand Rapids, MI 49503-1455 Ph: (616) 732-6200 | 
| Maureen Tan Pedres, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503 Phone: 616-391-3139 Fax: 616-391-3044 | |
| Jeffery Allen Woo, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Wealthy St Se, Ste 150, Grand Rapids, MI 49506 Phone: 616-459-3158 Fax: 616-988-0071 | |
| Robert W Selfe, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585 | |
| Dr. Erin Megan Pettijohn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503 Phone: 616-685-5600 | |
| Dr. Andrew Leo Sochacki, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-389-1800 | |
| Aline De Quadros Teixeira, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3139 | |
| Stephanie F Williams, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503 Phone: 616-486-5933 Fax: 616-486-6489 |