Allegra Lange, in San Bernardino, CA - Medicare Marriage & Family Therapist Provider

Allegra Lange, is a medicare enrolled "Marriage & Family Therapist" provider in San Bernardino, California. Her current practice location is 600 N Arrowhead Ave, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (909) 522-4656.

Allegra Lange is licensed to practice in California (license number 117287) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194072769.

Contact Information

	Allegra Lange,
	600 N Arrowhead Ave, San Bernardino, CA 92401-1164
	(909) 522-4656
	(909) 763-5525

Map and Direction

Healthcare Provider's Profile

Full Name	Allegra Lange
Gender	Female
Speciality	Marriage & Family Therapist
Location	600 N Arrowhead Ave, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194072769
Provider Enumeration Date: 08/13/2012
Last Update Date: 08/05/2020

Medicare PECOS Information:

PECOS PAC ID: 1951745454
Enrollment ID: I20240222002662

Medical Identifiers

Medical identifiers for Allegra Lange such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194072769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	IMF 80332 (California)	Secondary
106H00000X	Marriage & Family Therapist	117287 (California)	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. Allegra Lange allows following entities to bill medicare on her behalf.

Entity Name	Soultenders Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766

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. Allegra 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
Allegra Lange, 600 N Arrowhead Ave, San Bernardino, CA 92401-1164 Ph: (909) 522-4656	Allegra Lange, 600 N Arrowhead Ave, San Bernardino, CA 92401-1164 Ph: (909) 522-4656

Reviews and Comments

Marriage & Family Therapist in San Bernardino, CA

Susan F Achuff, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 820 E Gilbert St, San Bernardino, CA 92415 Phone: 909-387-7200 Fax: 909-387-7717
Henry K. Chang, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 820 E Gilbert St, San Bernardino, CA 92415 Phone: 909-367-7200
Maria Angel-esparza, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 760 E Brier Dr, San Bernardino, CA 92408 Phone: 909-386-9584
Ms. Wandalyn Lane, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1585 S D St, 101, San Bernardino, CA 92408 Phone: 909-388-2222 Fax: 909-388-2220
Mr. Stephen John Graves, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 820 E Gilbert St, San Bernardino County Dept. Of Behavioral Health, San Bernardino, CA 92415 Phone: 909-387-7769 Fax: 909-386-8520
Kimberly Quezada, M.S., LMFT 99748 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 460 S Stoddard Ave Ste 1, San Bernardino, CA 92401 Phone: 909-882-7978
Jeanne Marie Sierra, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 572 N Arrowhead Ave Ste 200, San Bernardino, CA 92401 Phone: 909-266-2700

Allegra Lange, - Medicare Couples Therapy in San Bernardino, CA