Dr John Leslie Lange, MD in Fort Smith, AR

Dr John Leslie Lange, MD is a medicare enrolled "Urology" physician in Fort Smith, Arkansas. His current practice location is 5500 Ellsworth Rd., Fort Smith, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 242-2411.

Dr John Leslie Lange is licensed to practice in Arkansas (license number N6768) 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 1154382802.

Contact Information

	Dr John Leslie Lange, MD
	5500 Ellsworth Rd., Fort Smith, AR 72903-3222
	(479) 242-2411
	(479) 242-2412

Map and Direction

Physician's Profile

Full Name	Dr John Leslie Lange
Gender	Male
Speciality	Urology
Location	5500 Ellsworth Rd., Fort Smith, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154382802
Provider Enumeration Date: 03/31/2006
Last Update Date: 03/22/2013

Medicare PECOS Information:

PECOS PAC ID: 0446237564
Enrollment ID: I20040713000589

Medical Identifiers

Medical identifiers for Dr John Leslie Lange such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154382802	NPI	-	NPPES
105907001	Medicaid	AR
100134360A	Medicaid	OK
53049	Other	AR	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	N6768 (Arkansas)	Primary

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. Dr John Leslie Lange allows following entities to bill medicare on his behalf.

Entity Name	Fort Smith Hma Pbc Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477888907 PECOS PAC ID: 8224172127 Enrollment ID: O20100216000383

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. Dr John Leslie 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
Dr John Leslie Lange, MD Po Box 402319, Atlanta, GA 30384-2319 Ph: (479) 709-7399	Dr John Leslie Lange, MD 5500 Ellsworth Rd., Fort Smith, AR 72903-3222 Ph: (479) 242-2411

Reviews and Comments

Urology Doctors in Fort Smith, AR

Dr. Kyle B Basham, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5500 Ellsworth Rd, Fort Smith, AR 72903 Phone: 479-709-7295 Fax: 479-709-7296
John D. Terrell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5500 Ellsworth Rd, Fort Smith, AR 72903 Phone: 479-494-9524 Fax: 479-226-5784
Dr. Gerald Eugene Wahman, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 5500 Ellsworth Rd., Fort Smith, AR 72903 Phone: 479-242-2411 Fax: 479-242-2412
Dr. Sinclair W Armstrong Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 7001 Rogers Ave, Fort Smith, AR 72903 Phone: 479-452-2077
Dr. Darryl R Francis Ii, MD Urology Medicare: Medicare Enrolled Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-2000
Dr. Ronald P. Knobloch, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5500 Ellsworth Rd., Fort Smith, AR 72903 Phone: 479-242-2411 Fax: 479-242-2412

Dr John Leslie Lange, MD - Medicare Urology in Fort Smith, AR