| Mr Dodd George Lange, FNP | |
|
700 Scott And White Dr, College Station, TX 77845-6441 | |
| (979) 207-0100 | |
| (979) 207-2161 |
| Full Name | Mr Dodd George Lange |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 700 Scott And White Dr, College Station, Texas |
| 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 |
|---|---|---|---|
| 1386717080 | NPI | - | NPPES |
| 8Y3120 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 627638 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 627638 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bellville St Joseph Health Center | Bellville, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Medical Group Of Texas Pllc | 7810117223 | 238 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Integrative Emergency Services Physician Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285922542 PECOS PAC ID: 0749447936 Enrollment ID: O20120130000932 |
| Entity Name | Nluc Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518209113 PECOS PAC ID: 3072752302 Enrollment ID: O20130618000619 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Entity Name | Next Level Mv Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013432285 PECOS PAC ID: 5991062085 Enrollment ID: O20171128000837 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dodd George Lange, FNP Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Mr Dodd George Lange, FNP 700 Scott And White Dr, College Station, TX 77845-6441 Ph: (979) 207-0100 |
Elizabeth Grace, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 Fax: 979-207-2161 | |
Michele Armstrong, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1602 Rock Prairie Rd Ste 300, College Station, TX 77845 Phone: 979-693-7400 Fax: 979-693-7446 | |
Ms. Kimberly Tripp, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 University Dr E, College Station, TX 77840 Phone: 979-207-3636 | |
Brandi Brown Yeager, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1604 Rock Prairie Rd, College Station, TX 77845 Phone: 979-764-5100 | |
Bernadette Genosa, APRN, AG-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Kelley Kennedy Schulze, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1651 Rock Prairie Rd, #102, College Station, TX 77845 Phone: 979-693-7400 Fax: 979-693-7446 | |
Mrs. Charity Anne Jones, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 907-207-0100 Fax: 979-207-2161 |