Ms Carla J Stange, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mendocino, California. She graduated from nursing school in 1985 and has 40 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Attenda Medical Group Inc and her current practice location is
45081 Little Lake St, Mendocino, California. You can reach out to her office (for appointments etc.) via phone at
(707) 937-1055.
Ms Carla J Stange is licensed to practice in California (license number 2199) 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 1780769166.
Provider's Profile
| Full Name | Ms Carla J Stange |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 40 Years |
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| Location | 45081 Little Lake St, Mendocino, California |
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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 Carla J Stange graduated from nursing school in 1985
NPI Data:
- NPI Number: 1780769166
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 01/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 2062736861
- Enrollment ID: I20190510002022
Medical Identifiers
Medical identifiers for Ms Carla J Stange such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780769166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 336450 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 336450 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2199 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Attenda Medical Group Inc | 6507274354 | 6 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Carla J Stange allows following entities to bill medicare on her behalf.
| Entity Name | Attenda Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740866615
PECOS PAC ID: 6507274354
Enrollment ID: O20210416000917 |
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| Entity Name | Adventist Health Mendocino Coast |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538113725
PECOS PAC ID: 3678990769
Enrollment ID: O20220620001667 |
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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 Carla J Stange 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 |
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Ms Carla J Stange, FNP
3536 Mendocino Ave Ste 200,
Santa Rosa, CA 95403-3634
Ph: (707) 525-6485 | Ms Carla J Stange, FNP
45081 Little Lake St,
Mendocino, CA 95460
Ph: (707) 937-1055 |
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