Dr Leslie Lange, PHD in Larchmont, NY - Medicare Psychologist Provider

Dr Leslie Lange, PHD is a medicare enrolled "Psychologist - Clinical" provider in Larchmont, New York. Her current practice location is 2005 Palmer Avenue, Larchmont, New York. You can reach out to her office (for appointments etc.) via phone at (818) 657-9487.

Dr Leslie Lange is licensed to practice in California (license number PSY12673) 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 1497207211.

Contact Information

	Dr Leslie Lange, PHD
	2005 Palmer Avenue, Larchmont, NY 10538
	(818) 657-9487
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Leslie Lange
Gender	Female
Speciality	Psychologist - Clinical
Location	2005 Palmer Avenue, Larchmont, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497207211
Provider Enumeration Date: 10/27/2016
Last Update Date: 06/16/2017

Medicare PECOS Information:

PECOS PAC ID: 2860755618
Enrollment ID: I20180803001136

Medical Identifiers

Medical identifiers for Dr Leslie Lange such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497207211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	003655 (Connecticut)	Secondary
103TC0700X	Psychologist - Clinical	PSY12673 (California)	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. Dr Leslie Lange allows following entities to bill medicare on her behalf.

Entity Name	Sentinel Services Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144891375 PECOS PAC ID: 6901290717 Enrollment ID: O20220221001691

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. Dr Leslie 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
Dr Leslie Lange, PHD 2005 Palmer Ave., Larchmont, NY 10803 Ph: (818) 657-9487	Dr Leslie Lange, PHD 2005 Palmer Avenue, Larchmont, NY 10538 Ph: (818) 657-9487

Reviews and Comments

Psychologist in Larchmont, NY

Dr. Stephanie Lia, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2039 Palmer Ave, Suite 102, Larchmont, NY 10538 Phone: 914-837-2685
Dr. Lisa Goldfine, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2005 Palmer Avenue, #111, Larchmont, NY 10538 Phone: 203-286-3644
Dr. Abbe Jane Marcus-rand, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1890 Palmer Ave, Suite 307, Larchmont, NY 10538 Phone: 914-522-6055 Fax: 914-834-3640
Dr. Michele Caryn Sacks, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 48 Ellsworth Rd, Larchmont, NY 10538 Phone: 914-834-2652
Dr. Amy Beth Price, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Madison Ave Ste 201, Larchmont, NY 10538 Phone: 914-341-2990
Mr. Steven Roger Guggenheim, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2039 Palmer Ave, Ste 201, Larchmont, NY 10538 Phone: 914-714-4426 Fax: 914-834-6222
Dr. George Goldstein, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Howard St, Larchmont, NY 10538 Phone: 914-834-4356

Dr Leslie Lange, PHD - Medicare Psychologist in Larchmont, NY