Kristopher Robert Lange, DO in Portsmouth, VA

Kristopher Robert Lange, DO is a medicare enrolled "Emergency Medicine" physician in Portsmouth, Virginia. His current practice location is 620 John Paul Jones Circle, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 953-0669.

Kristopher Robert Lange is licensed to practice in Nevada (license number DO3816) 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 1376084327.

Contact Information

	Kristopher Robert Lange, DO
	620 John Paul Jones Circle, Portsmouth, VA 23708
	(757) 953-0669
	Not Available

Map and Direction

Physician's Profile

Full Name	Kristopher Robert Lange
Gender	Male
Speciality	Emergency Medicine
Location	620 John Paul Jones Circle, Portsmouth, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376084327
Provider Enumeration Date: 03/10/2017
Last Update Date: 02/07/2025

Medicare PECOS Information:

PECOS PAC ID: 5092180661
Enrollment ID: I20230412002978

Medical Identifiers

Medical identifiers for Kristopher Robert Lange such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376084327	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2022048812 (Missouri)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207P00000X	Emergency Medicine	DO3816 (Nevada)	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. Kristopher Robert Lange allows following entities to bill medicare on his behalf.

Entity Name	Southeast Missouri Hospital Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775

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. Kristopher Robert 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
Kristopher Robert Lange, DO 200 Mercy Circle, Camp Pendleton, CA 92055 Ph: (801) 921-2770	Kristopher Robert Lange, DO 620 John Paul Jones Circle, Portsmouth, VA 23708 Ph: (757) 953-0669

Reviews and Comments

Emergency Medicine Doctors in Portsmouth, VA

Eric Sulava, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708 Phone: 757-953-0669
Dr. David Wayne Champ, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1407
Dr. Brian Michael Keuski, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000
Dr. Joel Martin Schofer, MD, MBA, CPE Emergency Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 302-824-4411
Dr. David Ryan Lamborn, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Circle, Portsmouth, VA 23708 Phone: 757-953-5000
Dr. Johnathan Paul Kinzer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 443-717-0272
Keneth Kwame Sarpong, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 757-398-2200

Kristopher Robert Lange, DO - Medicare Emergency Medicine in Portsmouth, VA