Mark William Lange, MED LMFT LMHC is a medicare enrolled "Marriage & Family Therapist" provider in Palmer, Massachusetts. His current practice location is
40 Wright Street, Wing Memorial Hospital Griswold Center, Palmer, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(413) 284-5285.
Mark William Lange is licensed to practice in Massachusetts (license number 1185) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740215987.
Healthcare Provider's Profile
Full Name | Mark William Lange |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 40 Wright Street, Palmer, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740215987
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1658718804
- Enrollment ID: I20240322002889
Medical Identifiers
Medical identifiers for Mark William Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740215987 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 4668 (Massachusetts) | Primary |
106H00000X | Marriage & Family Therapist | 1185 (Massachusetts) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark William Lange allows following entities to bill medicare on his behalf.
Entity Name | Baystate Wing Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962410233 PECOS PAC ID: 9335048321 Enrollment ID: O20040511000400 |
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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. Mark William Lange 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 |
Mark William Lange, MED LMFT LMHC 40 Wright Street, Palmer, MA 01069 Ph: (413) 283-7651 | Mark William Lange, MED LMFT LMHC 40 Wright Street, Wing Memorial Hospital Griswold Center, Palmer, MA 01069 Ph: (413) 284-5285 |
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