Kaitlin Raeleen Lange, PA-C is a medicare enrolled "Physician Assistant" physician in Eaton, Ohio. She graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Alliance Physicians Inc and her current practice location is
405 B Washington Jackson Road, Suite 108, Eaton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 456-8330.
Kaitlin Raeleen Lange is licensed to practice in Ohio (license number 50.007778RX) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821712068.
Physician's Profile
| Full Name | Kaitlin Raeleen Lange |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 405 B Washington Jackson Road, Eaton, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kaitlin Raeleen Lange graduated from medical school in 2022
NPI Data:
- NPI Number: 1821712068
- Provider Enumeration Date: 09/30/2022
- Last Update Date: 04/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456720168
- Enrollment ID: I20221219001866
Medical Identifiers
Medical identifiers for Kaitlin Raeleen Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821712068 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 50.007778RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 50.007778RX (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Alliance Physicians Inc | 0840104360 | 277 |
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. Kaitlin Raeleen 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 |
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Kaitlin Raeleen Lange, PA-C
6845 Castlerock Trl Apt C,
Dayton, OH 45459-6024
Ph: (937) 239-7818 | Kaitlin Raeleen Lange, PA-C
405 B Washington Jackson Road, Suite 108,
Eaton, OH 45320
Ph: (937) 456-8330 |
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