| Dr Mary Patricia Lange, PHD, NP | |
|
4601 John R, Detroit, MI 48201 | |
| (313) 576-3955 | |
| (313) 576-1191 |
| Full Name | Dr Mary Patricia Lange |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 4601 John R, Detroit, Michigan |
| 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 |
|---|---|---|---|
| 1740394055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 4704103457 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Healthcare Professionals Pc | 0345413258 | 463 |
| Executive Health Pc | 1456672088 | 2 |
| Entity Name | Michigan Healthcare Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Entity Name | Executive Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528445632 PECOS PAC ID: 1456672088 Enrollment ID: O20150608000906 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Patricia Lange, PHD, NP 29344 Glencastle Dr, Farmington Hills, MI 48336-1418 Ph: (248) 478-6199 | Dr Mary Patricia Lange, PHD, NP 4601 John R, Detroit, MI 48201 Ph: (313) 576-3955 |
Catherine Ann Wenz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16411 Curtis St, Detroit, MI 48235 Phone: 313-838-6822 | |
Mikayla William, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Amber Marroquin, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
Michelle M Wojek, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 Phone: 888-731-8994 | |
Tiwanna Jeaninne Williams, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 Broadstreet Ave, Detroit, MI 48204 Phone: 313-824-1000 | |
Mrs. Ines Hurley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3950 Beaubien St, Detroit, MI 48201 Phone: 313-745-5437 | |
Nicole Woznicki, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3901 Chrysler Dr, Detroit, MI 48201 Phone: 313-966-7601 |