| Dr Paul C Lange, MD | |
|
701 Med Tech Pkwy Ste 401, Johnson City, TN 37604-2372 | |
| (423) 631-0646 | |
| Not Available |
| Full Name | Dr Paul C Lange |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 47 Years |
| Location | 701 Med Tech Pkwy Ste 401, Johnson City, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578537882 | NPI | - | NPPES |
| 010800069 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 53106 (Tennessee) | Secondary |
| 208M00000X | Hospitalist | 53106 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franklin Woods Community Hospital | Johnson city, TN | Hospital |
| Johnson City Medical Center | Johnson city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellmont Medical Associates Inc | 8123291739 | 423 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul C Lange, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Dr Paul C Lange, MD 701 Med Tech Pkwy Ste 401, Johnson City, TN 37604-2372 Ph: (423) 631-0646 |
Mitchell Deshazer, Hospitalist Medicare: Medicare Enrolled Practice Location: 400 N State Of Franklin Rd, Room 2746, Johnson City, TN 37604 Phone: 423-431-2727 Fax: 423-431-6715 | |
Pradeep Srikanthan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-1950 | |
Jacob Eric Ronald Holt, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353 | |
Dimka M Ialamova-tountcheva, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353 | |
Tsering Dolkar, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Park Dr, Johnson City, TN 37604 Phone: 929-575-9829 | |
Brian P Donovan, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353 | |
Dr. Jeremy Vincent Pinyard, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 516 W Oakland Ave, Suite 106, Johnson City, TN 37604 Phone: 423-722-3100 Fax: 423-722-3104 |