Mr Eric Cullifer Lange, PA-C in Virginia Beach, VA

Mr Eric Cullifer Lange, PA-C is a medicare enrolled "Physician Assistant" in Virginia Beach, Virginia. His current practice location is 1064 Laskin Rd Ste 14c, Virginia Beach, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 233-1500.

Mr Eric Cullifer Lange is licensed to practice in Virginia (license number 0110006752) 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 1063973493.

Contact Information

	Mr Eric Cullifer Lange, PA-C
	1064 Laskin Rd Ste 14c, Virginia Beach, VA 23451-6337
	(757) 233-1500
	(757) 222-3833

Map and Direction

Provider's Profile

Full Name	Mr Eric Cullifer Lange
Gender	Male
Speciality	Physician Assistant
Location	1064 Laskin Rd Ste 14c, Virginia Beach, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063973493
Provider Enumeration Date: 03/28/2019
Last Update Date: 03/20/2023

Medicare PECOS Information:

PECOS PAC ID: 5890152789
Enrollment ID: I20230608001069

Medical Identifiers

Medical identifiers for Mr Eric Cullifer Lange such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063973493	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0110006752 (Virginia)	Primary

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. Mr Eric Cullifer 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
Mr Eric Cullifer Lange, PA-C 1064 Laskin Rd Ste 14c, Virginia Beach, VA 23451-6337 Ph: (757) 233-1500	Mr Eric Cullifer Lange, PA-C 1064 Laskin Rd Ste 14c, Virginia Beach, VA 23451-6337 Ph: (757) 233-1500

Reviews and Comments

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Mr Eric Cullifer Lange, PA-C - Medicare Physician Assistant in Virginia Beach, VA