Dr Mary Patricia Lange, PHD, NP - Medicare Nurse Practitioner in Detroit, MI

Dr Mary Patricia Lange, PHD, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Detroit, Michigan. She graduated from nursing school in 2001 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Michigan Healthcare Professionals Pc, Executive Health Pc and her current practice location is 4601 John R, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 576-3955.

Dr Mary Patricia Lange is licensed to practice in Michigan (license number 4704103457) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740394055.

Contact Information

Dr Mary Patricia Lange, PHD, NP
4601 John R,
Detroit, MI 48201
(313) 576-3955
(313) 576-1191

Map and Direction




Provider's Profile

Full NameDr Mary Patricia Lange
GenderFemale
SpecialityNurse Practitioner
Experience25 Years
Location4601 John R, Detroit, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mary Patricia Lange graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1740394055
  • Provider Enumeration Date: 08/17/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7618074139
  • Enrollment ID: I20070517000625

Medical Identifiers

Medical identifiers for Dr Mary Patricia Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740394055NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 4704103457 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital - DearbornDearborn, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Michigan Healthcare Professionals Pc0345413258463
Executive Health Pc14566720882

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. Dr Mary Patricia Lange allows following entities to bill medicare on her behalf.
Entity NameMichigan Healthcare Professionals Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295023547
PECOS PAC ID: 0345413258
Enrollment ID: O20111109000027
Entity NameExecutive Health Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528445632
PECOS PAC ID: 1456672088
Enrollment ID: O20150608000906

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. Dr Mary Patricia 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 AddressPractice 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

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.