Tracy M Lange (NPI# 1053636613, PAC ID# 5395876809) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053636613 |
| PAC ID by PECOS | 5395876809 |
| Professional Enrollment ID | I20100628000532 |
| Full Name | Tracy M Lange |
| Organization Legal Name | PIEDMONT REGIONAL COMMUNITY SERVICES BOARD |
| Address |
24 Clay St Martinsville VA 24112-2810 |
| Phone Number | 2766327128 |
| Gender | F |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345215208 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490075 | SOVAH HEALTH DANVILLE |
| Address | Phone | Organization |
|---|---|---|
| 24 Clay St, Martinsville, VA 24112-2810 | 2766327128 | PIEDMONT REGIONAL COMMUNITY SERVICES BOARD |
| Organization Legal Name | PIEDMONT REGIONAL COMMUNITY SERVICES BOARD |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beautine Dempsey | Nurse Practitioner | Piedmont Regional Community Services Board | 22280 Jeb Stuart Hwy, Stuart, VA 24171-2999 |
| John O Hurt Jr. | Psychiatry | Piedmont Regional Community Services Board | 30 Technology Dr, Rocky Mount, VA 24151-3008 |
| Pravinchandra C Patel | Psychiatry | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Lisa Long | Clinical Social Worker | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Jennifer Yates | Clinical Social Worker | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Cynthia Shively | Nurse Practitioner | Piedmont Regional Community Services Board | 30 Technology Dr, Rocky Mount, VA 24151-3008 |
| Charlie Lebron Swanson Jr. | Psychiatry | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Angel Bousman | Clinical Social Worker | Piedmont Regional Community Services Board | 30 Technology Dr, Rocky Mount, VA 24151-3008 |
| Mary A Harper | Clinical Social Worker | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Fran E Hobson | Nurse Practitioner | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Street Address |
24 CLAY ST |
| City | MARTINSVILLE |
| State | VA |
| Zip | 24112-2810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pravinchandra C Patel | Psychiatry | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Lisa Long | Clinical Social Worker | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Jennifer Yates | Clinical Social Worker | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Charlie Lebron Swanson Jr. | Psychiatry | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Mary A Harper | Clinical Social Worker | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Fran E Hobson | Nurse Practitioner | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Conrad H Daum | Psychiatry | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Don S Tessman | Psychiatry | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Mary R Davidson | Nurse Practitioner | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Edward Ford | Optometry | 240 Commonwealth W Blvd, Martinsville, VA 24112-1800 | |
| Candice Elise Earp | Nurse Practitioner | Medexpress Urgent Care, PC - Virginia | 105 Commonwealth Blvd W, Martinsville, VA 24112-1806 |
| Gina L Varner | Nurse Practitioner | Piedmont Access To Health Services Inc | 287 Commonwealth W Blvd, Martinsville, VA 24112-1820 |
| Amy M Bowles | Physician Assistant | Piedmont Access To Health Services Inc | 287 Commonwealth W Blvd, Martinsville, VA 24112-1820 |
| Sara M Swanson | Nurse Practitioner | Piedmont Access To Health Services Inc | 287 Commonwealth W Blvd, Martinsville, VA 24112-1820 |
| Kareem A Hamdy | General Surgery | K. A. Hamdy, M.d., P.C. | 110 Commonwealth Blvd W, Martinsville, VA 24112-1832 |
| Terry Michelle Hamdy | Nurse Practitioner | K. A. Hamdy, M.d., P.C. | 110 Commonwealth Blvd W, Martinsville, VA 24112-1832 |
| Douglas M Christman | Optometry | 976 Commonwealth Blvd, Martinsville, VA 24112-1887 | |
| Faran D Rashid | Hospitalist | Apogee Medical Group Virginia | 320 Hospital Dr, Martinsville, VA 24112-1900 |
| Bennett I Fein | Gastroenterology | Martinsville Physician Practices LLC | 320 Hospital Dr, Martinsville, VA 24112-1900 |
| Find all physicians in zip 24112 | |||
| City | MARTINSVILLE |
| Zip Code | 24112 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MARTINSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tracy M Lange.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.