Samuel Zachary Lange, LMFT - Medicare Couples Therapy in Santa Rosa, CA

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Samuel Zachary Lange, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Santa Rosa, California. His current practice location is 1144 Sonoma Ave Ste 104, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 293-6486.

Samuel Zachary Lange is licensed to practice in California (license number 86694) 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 1730646894.

Contact Information

Samuel Zachary Lange, LMFT
1144 Sonoma Ave Ste 104,
Santa Rosa, CA 95405-4812
(707) 293-6486
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameSamuel Zachary Lange
GenderMale
SpecialityMarriage & Family Therapist
Location1144 Sonoma Ave Ste 104, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730646894
  • Provider Enumeration Date: 02/25/2019
  • Last Update Date: 02/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6608213699
  • Enrollment ID: I20240326003621

Medical Identifiers

Medical identifiers for Samuel Zachary Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730646894NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 86694 (California)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. Samuel Zachary Lange allows following entities to bill medicare on his behalf.
Entity NameCyti Health Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679172290
PECOS PAC ID: 4587012950
Enrollment ID: O20231122002919

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. Samuel Zachary 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 AddressPractice Location Address
Samuel Zachary Lange, LMFT
1144 Sonoma Ave Ste 104,
Santa Rosa, CA 95405-4812

Ph: (707) 293-6486		Samuel Zachary Lange, LMFT
1144 Sonoma Ave Ste 104,
Santa Rosa, CA 95405-4812

Ph: (707) 293-6486

Reviews and Comments


Marriage & Family Therapist in Santa Rosa, CA

Laurie B. Stolmaker, MFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 95 Montgomery Dr, Ste 202, Santa Rosa, CA 95404
Phone: 707-523-2033    Fax: 707-539-6769
Dante Carlozzi,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 3650 Standish Ave, Santa Rosa, CA 95407
Phone: 707-585-6108    
Nancy Maddox,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 3333 Chanate Rd, Santa Rosa, CA 95404
Phone: 707-565-4939    
Vicki L Wedegaertner, MFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 1360 North Dutton Avenue, Suite C, Santa Rosa, CA 95401
Phone: 707-303-1532    
Christine Dufond,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 4527 Montgomery Dr, Suite F, Santa Rosa, CA 95409
Phone: 707-483-8232    
Erin Andersen, MA, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 865 3rd St Ste 202, Santa Rosa, CA 95404
Phone: 707-596-0494    Fax: 707-595-5765
Ms. Lorin Lin Tierney, MFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 320 10th St Ste 201, Santa Rosa, CA 95401
Phone: 916-505-5053    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.