| Clinton Lange, | |
|
413 Hackett Blvd, Albany, NY 12208-1635 | |
| (830) 370-8023 | |
| Not Available |
| Full Name | Clinton Lange |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 413 Hackett Blvd, Albany, New York |
| 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 |
|---|---|---|---|
| 1245703834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 718745-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Johns Regional Medical Center | Oxnard, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Palm Springs Anesthesia Services Pc | 6406049592 | 78 |
| Entity Name | Palm Springs Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083928501 PECOS PAC ID: 6406049592 Enrollment ID: O20101021000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Lange, 413 Hackett Blvd, Albany, NY 12208-1635 Ph: (830) 370-8023 | Clinton Lange, 413 Hackett Blvd, Albany, NY 12208-1635 Ph: (830) 370-8023 |
Deborah Gelbman, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12 Metro Park Rd, Suite 102, Albany, NY 12205 Phone: 518-437-0152 | |
Mrs. Barbara Irene Gaffuri, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 43 Bertha St, Albany, NY 12209 Phone: 518-475-6755 Fax: 518-475-6754 | |
Ms. Kelly N Miles, MS, RNC, NNP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 43 New Scotland Ave, Albany, NY 12208 Phone: 518-262-9200 | |
Jessica Marie Carpenter, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 43 New Scotland Ave, Albany, NY 12208 Phone: 518-332-3956 | |
Aquila Mcfarlane, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 75 New Scotland Ave, Albany, NY 12208 Phone: 518-549-6000 | |
Dana Marie Desantis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 75 New Scotland Ave, Albany, NY 12208 Phone: 518-549-6948 Fax: 518-549-6956 | |
Theresa Appiah Oware, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 75 New Scotland Ave, Albany, NY 12208 Phone: 518-549-6800 |