Dr John Leslie Lange, MD in Fort Smith, AR

Dr John Leslie Lange, MD is a Urology physician based in Fort Smith, Arkansas. Dr John Leslie Lange is licensed to practice in Arkansas (license number N6768) and his current practice location is 5500 Ellsworth Rd., Fort Smith, Arkansas. He can be reached at his office (for appointments etc.) via phone at (479) 242-2411.

NPI number for Dr John Leslie Lange is 1154382802 and his current mailing address is Po Box 402319, Atlanta, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. 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	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

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

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 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 NOT enrolled with medicare and thus cannot 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: 479-709-7295 Fax: 479-709-7296

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