Samantha Rae Lange, PA-C - Medicare Physician Assistant in Boise, ID

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Samantha Rae Lange, PA-C is a medicare enrolled "Physician Assistant" in Boise, Idaho. Her current practice location is 1072 N Liberty St Ste 203, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 302-5800.

Samantha Rae Lange is licensed to practice in Idaho (license number PA-1432) 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 1346792033.

Contact Information

Samantha Rae Lange, PA-C
1072 N Liberty St Ste 203,
Boise, ID 83704
(208) 302-5800
(208) 302-5855

Map and Direction




Provider's Profile

Full NameSamantha Rae Lange
GenderFemale
SpecialityPhysician Assistant
Location1072 N Liberty St Ste 203, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346792033
  • Provider Enumeration Date: 10/27/2016
  • Last Update Date: 06/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9436439304
  • Enrollment ID: I20161212000490

Medical Identifiers

Medical identifiers for Samantha Rae Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346792033NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA-1432 (Idaho)Primary

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. Samantha Rae Lange allows following entities to bill medicare on her behalf.
Entity NameSaint Alphonsus Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649357716
PECOS PAC ID: 3476462359
Enrollment ID: O20040204001036
Entity NameMountain View Hospital LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669462362
PECOS PAC ID: 4486562774
Enrollment ID: O20040527001343
Entity NameCommunity Care West Side LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295009785
PECOS PAC ID: 3678738218
Enrollment ID: O20120703000554

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. Samantha Rae 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
Samantha Rae Lange, PA-C
2115 Enell St,
Idaho Falls, ID 83402-2911

Ph: (208) 302-5800		Samantha Rae Lange, PA-C
1072 N Liberty St Ste 203,
Boise, ID 83704

Ph: (208) 302-5800

Reviews and Comments


Physician Assistant Nurses in Boise, ID

Brittany Guthrie, PA-C
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Phone: 208-302-4400    Fax: 208-302-4255
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Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-3131    

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.