Mrs Tracy M Lange, MSN, FNP, PMHNP | |
22280 Jeb Stuart Hwy, Stuart, VA 24171-2999 | |
(276) 694-4361 | |
Not Available |
Full Name | Mrs Tracy M Lange |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 22280 Jeb Stuart Hwy, Stuart, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053636613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024168745 (Virginia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024168745 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Regional Community Services Board | 0345215208 | 25 |
Entity Name | Piedmont Regional Community Services Board |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699754010 PECOS PAC ID: 0345215208 Enrollment ID: O20090319000311 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tracy M Lange, MSN, FNP, PMHNP 22280 Jeb Stuart Hwy, Stuart, VA 24171-2999 Ph: (276) 694-4361 | Mrs Tracy M Lange, MSN, FNP, PMHNP 22280 Jeb Stuart Hwy, Stuart, VA 24171-2999 Ph: (276) 694-4361 |
Meagan Nichole Radford, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18877 Jeb Stuart Hwy, Stuart, VA 24171 Phone: 276-340-9507 Fax: 276-694-2909 | |
Mrs. Kaitlyn Grace Cobler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18877 Jeb Stuart Hwy, Stuart, VA 24171 Phone: 276-694-4466 | |
Mrs. Samantha Nicole Hill, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18877 Jeb Stuart Hwy, Stuart, VA 24171 Phone: 276-694-4466 | |
Pamela W Wright, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18877 Jeb Stuart Hwy, Stuart, VA 24171 Phone: 276-694-4466 Fax: 276-694-2909 | |
Sheree Wells Marilla, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 835 Woodland Dr, Suite 101, Stuart, VA 24171 Phone: 276-694-3410 | |
Sandra Robertson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18688 Jeb Stuart Hwy, Stuart, VA 24171 Phone: 276-694-8600 |