Marlis Lange, MD | |
1998 Star School Rd, Hastings, MI 49058-8784 | |
(269) 948-3922 | |
Not Available |
Full Name | Marlis Lange |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 1998 Star School Rd, Hastings, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164495669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036-105447 (Illinois) | Primary |
Entity Name | Kennekuk Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659523777 PECOS PAC ID: 0244395739 Enrollment ID: O20090217000467 |
Entity Name | Iems Physician Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790544047 PECOS PAC ID: 2567802556 Enrollment ID: O20240424001359 |
Mailing Address | Practice Location Address |
---|---|
Marlis Lange, MD 1998 Star School Rd, Hastings, MI 49058-8784 Ph: (269) 948-3922 | Marlis Lange, MD 1998 Star School Rd, Hastings, MI 49058-8784 Ph: (269) 948-3922 |
Jennifer Ann Mervau, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1009 W Green St, Hastings, MI 49058 Phone: 269-945-3451 | |
Melissa M Winger, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1009 W Green St, Hastings, MI 49058 Phone: 269-945-3451 | |
Wesley P Von Seggern, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1009 West Green Street, Hastings, MI 49058 Phone: 269-948-3451 Fax: 269-945-3588 | |
Amy Poholski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1009 W Green St, Hastings, MI 49058 Phone: 269-945-3451 |