Dr Paul C Lange, MD | |
130 W Ravine Rd, Kingsport, TN 37660 | |
(423) 224-3628 | |
(423) 230-8502 |
Full Name | Dr Paul C Lange |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 46 Years |
Location | 130 W Ravine Rd, Kingsport, 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 |
---|---|---|
Johnson City Medical Center | Johnson city, TN | Hospital |
Franklin Woods Community Hospital | Johnson city, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellmont Medical Associates Inc | 8123291739 | 405 |
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 509 Med Tech Pkwy Ste 100, Johnson City, TN 37604-2579 Ph: (423) 952-1111 | Dr Paul C Lange, MD 130 W Ravine Rd, Kingsport, TN 37660 Ph: (423) 224-3628 |
Patrina Nicolyn Cradic, FNP-C Hospitalist Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 | |
Jessica Machue, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 102 E Ravine Rd, Kingsport, TN 37660 Phone: 423-245-9600 | |
Mr. Naveed H Memon, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-3628 Fax: 423-230-8502 | |
Jamie Kendall Bartley, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, 3rd Floor, Kingsport, TN 37660 Phone: 423-857-5905 Fax: 423-857-5904 | |
Dr. Dennis Starr, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-282-1480 Fax: 423-928-1353 | |
Dr. Mircea Boiciuc, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2033 Meadowview Ln, Ste 200, Kingsport, TN 37660 Phone: 423-857-2793 Fax: 423-578-8025 | |
Dr. Vitaly Nazarov, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-3628 Fax: 423-230-8502 |