Mark William Lange, MED LMFT LMHC is a medicare enrolled "Marriage & Family Therapist" provider in Palmer, Massachusetts. He graduated from healthcare school in 1997 and has 29 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Baystate Wing Hospital Corporation and his current practice location is
40 Wright Street, Wing Memorial Hospital Griswold Center, Palmer, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(413) 284-5285.
Mark William Lange is licensed to practice in Massachusetts (license number 1185) 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 1740215987.
Healthcare Provider's Profile
| Full Name | Mark William Lange |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 29 Years |
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| Location | 40 Wright Street, Palmer, Massachusetts |
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| 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:
- Mark William Lange graduated from medical school in 1997
NPI Data:
- NPI Number: 1740215987
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 1658718804
- Enrollment ID: I20240322002889
Medical Identifiers
Medical identifiers for Mark William Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740215987 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 4668 (Massachusetts) | Secondary |
| 106H00000X | Marriage & Family Therapist | 1185 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Baystate Wing Hospital Corporation | 9335048321 | 11 |
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. Mark William Lange allows following entities to bill medicare on his behalf.
| Entity Name | Baystate Wing Hospital Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962410233 PECOS PAC ID: 9335048321 Enrollment ID: O20040511000400 |
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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. Mark William 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 |
Mark William Lange, MED LMFT LMHC 40 Wright Street, Palmer, MA 01069 Ph: (413) 283-7651 | Mark William Lange, MED LMFT LMHC 40 Wright Street, Wing Memorial Hospital Griswold Center, Palmer, MA 01069 Ph: (413) 284-5285 |
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