Mr Charles Vincent Lange, LCSW in Dayville, CT - Medicare Social Worker Provider

Mr Charles Vincent Lange, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Dayville, Connecticut. His current practice location is 1007 North Main Street, Dayville, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 774-2020.

Mr Charles Vincent Lange is licensed to practice in Connecticut (license number 003893) 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 1790020840.

Contact Information

	Mr Charles Vincent Lange, LCSW
	1007 North Main Street, Dayville, CT 06241-0839
	(860) 774-2020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Charles Vincent Lange
Gender	Male
Speciality	Social Worker - Clinical
Location	1007 North Main Street, Dayville, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790020840
Provider Enumeration Date: 11/30/2012
Last Update Date: 11/30/2012

Medicare PECOS Information:

PECOS PAC ID: 3870870405
Enrollment ID: I20170508001369

Medical Identifiers

Medical identifiers for Mr Charles Vincent Lange such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790020840	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	003893 (Connecticut)	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. Mr Charles Vincent Lange allows following entities to bill medicare on his behalf.

Entity Name	Middlesex Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760454334 PECOS PAC ID: 5092611731 Enrollment ID: O20031211000843

Entity Name	Waire Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871744243 PECOS PAC ID: 4183782360 Enrollment ID: O20081016000105

Entity Name	Liberty Integrated Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417483165 PECOS PAC ID: 2769714286 Enrollment ID: O20191101000112

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 Charles Vincent 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 Charles Vincent Lange, LCSW 1007 North Main Street, Dayville, CT 06241-0839 Ph: (860) 774-2020	Mr Charles Vincent Lange, LCSW 1007 North Main Street, Dayville, CT 06241-0839 Ph: (860) 774-2020

Reviews and Comments

Social Worker in Dayville, CT

Ms. Sharon Marie Steflik, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 North Main Street, Dayville, CT 06241 Phone: 860-456-2261 Fax: 860-450-7116
Bryan Keith Salai, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-774-0826
Shelby Champagne, MSW INTERN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020
Caleb Sheldon, LMSW-T Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-774-0826
Cathy Boisvert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-774-0826
Ellen Buffa, LMSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020
Mrs. Gina Marie Malloy, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020

Mr Charles Vincent Lange, LCSW - Medicare Clinical Social Worker in Dayville, CT