Madison Lange, is a medicare enrolled "Nurse Practitioner" physician in Cincinnati, Ohio. Her current practice location is
3188 Bellevue Ave, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 584-1000.
Madison Lange is licensed to practice in Ohio (license number APRN.CNP.0037173) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750128591.
Physician's Profile
| Full Name | Madison Lange |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 3188 Bellevue Ave, Cincinnati, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750128591
- Provider Enumeration Date: 07/10/2024
- Last Update Date: 07/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 8325589708
- Enrollment ID: I20240925002954
Medical Identifiers
Medical identifiers for Madison Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750128591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 258553 (Tennessee) | Secondary |
| 363L00000X | Nurse Practitioner | APRN.CNP.0037173 (Ohio) | 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. Madison Lange allows following entities to bill medicare on her behalf.
| Entity Name | University Of Cincinnati Physicians Company Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801840434
PECOS PAC ID: 2264344480
Enrollment ID: O20031105000123 |
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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. Madison 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 |
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Madison Lange,
Po Box 636256,
Cincinnati, OH 45263-6256
Ph: (513) 585-6200 | Madison Lange,
3188 Bellevue Ave,
Cincinnati, OH 45219-2369
Ph: (513) 584-1000 |
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