Ms Carla J Stange, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mendocino, California. Her current practice location is
45081 Little Lake St, Mendocino, California. You can reach out to her office (for appointments etc.) via phone at
(707) 937-1055.
Ms Carla J Stange is licensed to practice in California (license number 2199) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780769166.
Provider's Profile
| Full Name | Ms Carla J Stange |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 45081 Little Lake St, Mendocino, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780769166
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 01/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 2062736861
- Enrollment ID: I20150127002033
Medical Identifiers
Medical identifiers for Ms Carla J Stange such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780769166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 336450 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 336450 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2199 (California) | Primary |
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. Ms Carla J Stange 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 |
Ms Carla J Stange, FNP 3536 Mendocino Ave Ste 200, Santa Rosa, CA 95403-3634 Ph: (707) 525-6485 | Ms Carla J Stange, FNP 45081 Little Lake St, Mendocino, CA 95460 Ph: (707) 937-1055 |
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