Clinton Lange, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Camarillo, California. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Palm Springs Anesthesia Services Pc and his current practice location is
916 Comanche Ct, Camarillo, California. You can reach out to his office (for appointments etc.) via phone at
(830) 370-8023.
Clinton Lange is licensed to practice in California (license number 95001852) 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 1245703834.
Provider's Profile
| Full Name | Clinton Lange |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 8 Years |
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| Location | 916 Comanche Ct, Camarillo, California |
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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:
- Clinton Lange graduated from nursing school in 2018
NPI Data:
- NPI Number: 1245703834
- Provider Enumeration Date: 01/07/2019
- Last Update Date: 05/01/2026
Medicare PECOS Information:
- PECOS PAC ID: 2769720499
- Enrollment ID: I20250225000165
Medical Identifiers
Medical identifiers for Clinton Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245703834 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 95001852 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Palm Springs Anesthesia Services Pc | 6406049592 | 90 |
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. Clinton Lange allows following entities to bill medicare on his behalf.
| Entity Name | Palm Springs Anesthesia Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083928501
PECOS PAC ID: 6406049592
Enrollment ID: O20101021000600 |
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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. Clinton 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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Clinton Lange,
916 Comanche Ct,
Camarillo, CA 93010-2913
Ph: (830) 370-8023 | Clinton Lange,
916 Comanche Ct,
Camarillo, CA 93010-2913
Ph: (830) 370-8023 |
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