| Naomi Lange, | |
|
117 Jayne Ave, Patchogue, NY 11772-2834 | |
| (631) 275-1627 | |
| Not Available |
| Full Name | Naomi Lange |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 117 Jayne Ave, Patchogue, New York |
| 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 |
|---|---|---|---|
| 1740833557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Shore University Hospital | Bay shore, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 6374 |
| Entity Name | North Shore-lij Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Naomi Lange, 117 Jayne Ave, Patchogue, NY 11772-2834 Ph: (631) 275-1627 | Naomi Lange, 117 Jayne Ave, Patchogue, NY 11772-2834 Ph: (631) 275-1627 |
Joanna Tutrone, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 155 E Woodside Ave, Patchogue, NY 11772 Phone: 631-758-6565 Fax: 631-758-6568 |
Courtney Bofinger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 |
David Ira Jackson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Road, Medical Center, Patchogue, NY 11772 Phone: 631-687-2953 Fax: 610-617-6280 |
Annette Pope-morris, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 |
Meaghan Chou, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 |
Austin Daniel Budhram, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 |
Lara Stephens, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 315-630-2161 |