Ms Sophia Katherine Lange, PA-C is a medicare enrolled "Physician Assistant" physician in Dallas, Texas. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Michael B Kronenberger Md Pa and her current practice location is
411 N Washington Ave Ste 7000, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 826-3681.
Ms Sophia Katherine Lange is licensed to practice in Texas (license number PA15382) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215509468.
Physician's Profile
| Full Name | Ms Sophia Katherine Lange |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 411 N Washington Ave Ste 7000, Dallas, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Sophia Katherine Lange graduated from medical school in 2021
NPI Data:
- NPI Number: 1215509468
- Provider Enumeration Date: 07/15/2021
- Last Update Date: 11/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466850276
- Enrollment ID: I20221102000716
Medical Identifiers
Medical identifiers for Ms Sophia Katherine Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215509468 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | PA15832 (Texas) | Secondary |
| 207Y00000X | Otolaryngology | PA15382 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA15382 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Michael B Kronenberger Md Pa | 5193770873 | 5 |
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. Ms Sophia Katherine 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 |
|---|
Ms Sophia Katherine Lange, PA-C
411 N Washington Ave Ste 7000,
Dallas, TX 75246-1791
Ph: (214) 826-3681 | Ms Sophia Katherine Lange, PA-C
411 N Washington Ave Ste 7000,
Dallas, TX 75246-1791
Ph: (214) 826-3681 |
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