Alex Lange, is a medicare enrolled "Physician Assistant" in Avon, Minnesota. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Centracare Clinic and his current practice location is
Po Box 24, Avon, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 293-5046.
Alex Lange is licensed to practice in Minnesota (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740092790.
Provider's Profile
| Full Name | Alex Lange |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | Po Box 24, Avon, Minnesota |
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| Accepts Medicare Assignments | Yes. He 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:
- Alex Lange graduated from nursing school in 2025
NPI Data:
- NPI Number: 1740092790
- Provider Enumeration Date: 01/24/2025
- Last Update Date: 06/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 7810401114
- Enrollment ID: I20250709001583
Medical Identifiers
Medical identifiers for Alex Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740092790 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (Minnesota) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centracare Clinic | 2466363395 | 800 |
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. Alex Lange allows following entities to bill medicare on his behalf.
| Entity Name | Centracare Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293 |
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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. Alex 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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Alex Lange,
Po Box 24,
Avon, MN 56310-0024
Ph: Not Available | Alex Lange,
Po Box 24,
Avon, MN 56310-0024
Ph: (320) 293-5046 |
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