Mr Scott Alan Lange, PA in Provo, UT - Medicare Physician Assistant

Mr Scott Alan Lange, PA is a medicare enrolled "Physician Assistant - Surgical" in Provo, Utah. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice St Josephs Medical Pc and his current practice location is 1134 N 500 W, Suite 100, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 357-7081.

Mr Scott Alan Lange is licensed to practice in Utah (license number 6224324-1206) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104801315.

Contact Information

	Mr Scott Alan Lange, PA
	1134 N 500 W, Suite 100, Provo, UT 84604-3383
	(801) 357-7081
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Scott Alan Lange
Gender	Male
Speciality	Physician Assistant
Experience	22 Years
Location	1134 N 500 W, Provo, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Scott Alan Lange graduated from nursing school in 2002

NPI Data:

NPI Number: 1104801315
Provider Enumeration Date: 12/09/2005
Last Update Date: 04/08/2022

Medicare PECOS Information:

PECOS PAC ID: 0840297818
Enrollment ID: I20231213002437

Medical Identifiers

Medical identifiers for Mr Scott Alan Lange such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104801315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA00880 (Oregon)	Secondary
363AS0400X	Physician Assistant - Surgical	6224324-1206 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph's Hospital Health Center	Syracuse, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Josephs Medical Pc	4688855844	300

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 Scott Alan 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 Scott Alan Lange, PA Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 357-7081	Mr Scott Alan Lange, PA 1134 N 500 W, Suite 100, Provo, UT 84604-3383 Ph: (801) 357-7081

Reviews and Comments

Physician Assistant Nurses in Provo, UT

Kelly Marie Daly-wolfe, PA-C, RDN Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 N 200 W, Provo, UT 84601 Phone: 801-429-2000
John Harold Ball, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 401, Provo, UT 84604 Phone: 801-357-7546 Fax: 801-357-8840
Devin W Christensen, PA-S2 Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1360 S 760 W, Provo, UT 84601 Phone: 801-471-7998
Joan Margaret Butler, Physician Assistant Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760
Robert Rowe, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 589 S State St, Provo, UT 84606 Phone: 801-429-2000
Michael Anderson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 101, Provo, UT 84604 Phone: 801-373-4366 Fax: 801-418-0941
Stacie Glass, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 395 W Cougar Blvd Ste 602, Provo, UT 84604 Phone: 801-357-0570

Mr Scott Alan Lange, PA - Medicare Physician Assistant in Provo, UT