| Kristopher Robert Lange, DO | |
|
200 Mercy Circle, Camp Pendleton, CA 92055 | |
| (801) 921-2770 | |
| Not Available |
| Full Name | Kristopher Robert Lange |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 200 Mercy Circle, Camp Pendleton, California |
| 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 |
|---|---|---|---|
| 1376084327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2022048812 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | DO3816 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Medical Center | Las vegas, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Medical Center Of Southern Nevada | 7315934429 | 334 |
| Entity Name | University Medical Center Of Southern Nevada |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548393127 PECOS PAC ID: 7315934429 Enrollment ID: O20040429001053 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristopher Robert Lange, DO 200 Mercy Circle, Camp Pendleton, CA 92055 Ph: (801) 921-2770 | Kristopher Robert Lange, DO 200 Mercy Circle, Camp Pendleton, CA 92055 Ph: (801) 921-2770 |
Dr. Michael Andrew Galuska, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Building H100, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 Phone: 760-725-1620 | |
Dr. Syed A Hussain, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-719-4966 Fax: 760-725-1014 | |
Adrian Korduba, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-725-1288 | |
Jessica Nicole Cubillos, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: Naval Hospital Camp Pendleton, 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-725-1288 | |
Amanda Mona Lau, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Naval Hospital Camp Pendleton, 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-719-3462 | |
Carrie J. Nichols, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Mercy Circle, Family Medicine Dept, Camp Pendleton, CA 92058 Phone: 760-719-3616 Fax: 760-725-1101 |