Kristopher Robert Lange, DO in Camp Pendleton, CA

Kristopher Robert Lange, DO is a medicare enrolled "Emergency Medicine" physician in Camp Pendleton, California. His current practice location is 200 Mercy Circle, Camp Pendleton, California. You can reach out to his office (for appointments etc.) via phone at (801) 921-2770.

Kristopher Robert Lange is licensed to practice in Nevada (license number DO3816) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376084327.

Contact Information

	Kristopher Robert Lange, DO
	200 Mercy Circle, Camp Pendleton, CA 92055
	(801) 921-2770
	Not Available

Map and Direction

Physician's Profile

Full Name	Kristopher Robert Lange
Gender	Male
Speciality	Emergency Medicine
Location	200 Mercy Circle, Camp Pendleton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376084327
Provider Enumeration Date: 03/10/2017
Last Update Date: 03/11/2025

Medicare PECOS Information:

PECOS PAC ID: 5092180661
Enrollment ID: I20230412002978

Medical Identifiers

Medical identifiers for Kristopher Robert Lange such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376084327	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2022048812 (Missouri)	Secondary
207P00000X	Emergency Medicine	DO3816 (Nevada)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristopher Robert Lange allows following entities to bill medicare on his behalf.

Entity Name	Southeast Missouri Hospital Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775

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. Kristopher Robert 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
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

Reviews and Comments

Emergency Medicine Doctors in Camp Pendleton, CA

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
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
Dr. Richard Kevin Roach, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital Camp Pendleton, Bldg H100,santa Margarita Road, Camp Pendleton, CA 92055 Phone: 760-725-1620

Kristopher Robert Lange, DO - Medicare Emergency Medicine in Camp Pendleton, CA