Susan Elaine Lange, CRNP in Hagerstown, MD - Medicare Nurse Practitioner

Susan Elaine Lange, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Hagerstown, Maryland. Her current practice location is 1126 Opal Ct, Hagerstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 420-2666.

Susan Elaine Lange is licensed to practice in Maryland (license number R135100) 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 1811092364.

Contact Information

	Susan Elaine Lange, CRNP
	1126 Opal Ct, Hagerstown, MD 21740-5940
	(240) 420-2666
	(240) 420-0951

Map and Direction

Provider's Profile

Full Name	Susan Elaine Lange
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1126 Opal Ct, Hagerstown, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811092364
Provider Enumeration Date: 09/13/2006
Last Update Date: 01/07/2013

Medicare PECOS Information:

PECOS PAC ID: 7315991171
Enrollment ID: I20050304000515

Medical Identifiers

Medical identifiers for Susan Elaine Lange such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811092364	NPI	-	NPPES
002978500	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R135100 (Maryland)	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. Susan Elaine Lange allows following entities to bill medicare on her behalf.

Entity Name	Opal Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477639862 PECOS PAC ID: 1658270301 Enrollment ID: O20040102000138

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. Susan Elaine 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 Address	Practice Location Address
Susan Elaine Lange, CRNP 1126 Opal Ct, Hagerstown, MD 21740-5940 Ph: (240) 420-2666	Susan Elaine Lange, CRNP 1126 Opal Ct, Hagerstown, MD 21740-5940 Ph: (240) 420-2666

Reviews and Comments

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Susan Elaine Lange, CRNP - Medicare Nurse Practitioner in Hagerstown, MD