| Amanda C Lange, PA-C | |
|
2321 Stout Road, Menomonie, WI 54751-7003 | |
| (715) 838-5222 | |
| Not Available |
| Full Name | Amanda C Lange |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 2321 Stout Road, Menomonie, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295088821 | NPI | - | NPPES |
| 1295088821 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.004518 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 3709-23 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System In Eau Claire | Eau claire, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-northwest Wisconsin Region Inc | 4385553627 | 797 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Chippewa Valley Hospital & Oakview Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659471068 PECOS PAC ID: 6901700517 Enrollment ID: O20031125000470 |
| Entity Name | Thedacare Medical Center - Berlin, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760413777 PECOS PAC ID: 0446151666 Enrollment ID: O20040120000214 |
| Entity Name | Thedacare Medical Center - New London, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538127220 PECOS PAC ID: 5698664480 Enrollment ID: O20040311000254 |
| Entity Name | Thedacare Medical Center - Waupaca, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780782680 PECOS PAC ID: 3072504216 Enrollment ID: O20040524000645 |
| Entity Name | Thedacare Medical Center - Wild Rose, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043263999 PECOS PAC ID: 6507840923 Enrollment ID: O20040615000235 |
| Entity Name | Emergency Medicine of Racine SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598102717 PECOS PAC ID: 8527202142 Enrollment ID: O20130923000307 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Lakeview Medical Center Inc of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda C Lange, PA-C 200 1st St Sw, Suite 2000, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Amanda C Lange, PA-C 2321 Stout Road, Menomonie, WI 54751-7003 Ph: (715) 838-5222 |
Kyle Krona, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 28, Menomonie, WI 54751 Phone: 715-895-6234 |
Michael Christian, Physician Assistant Medicare: Medicare Enrolled Practice Location: E5834 689th Ave, Menomonie, WI 54751 Phone: 715-360-6527 |
Amy M Burns, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 Fax: 715-233-7645 |
Ms. Jody M Chilsen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 Fax: 715-233-7645 |
Mrs. Amy R Heikkinen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 |
Mr. Matthew C Trom, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 28, Menomonie, WI 54751 Phone: 715-895-6234 |
Rachael Renae Taylor, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-838-5222 |