Katharine Rae Lange
MD | Pediatrics | Female
Katharine Rae Lange, MD is a Minneapolis, Minnesota based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Katharine Rae Lange is
2525 Chicago Ave S, Minneapolis, Minnesota - 55404. She can be contacted on phone at
612-813-6000.
Katharine Rae Lange is a sole proprietor of her business.
NPI number (Unique professional ID) for Katharine Rae Lange is
1154612463 which was assigned by NPPES on 21 Apr, 2011 and it was last updated on 18 Sep, 2022.
Katharine Rae Lange license number is
62945 for Pediatrics (208000000X) in Minnesota.
Katharine Rae Lange is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Katharine Rae Lange basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Katharine Rae Lange |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Katharine Rae Lange address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2525 Chicago Ave S
Minneapolis, MN, 55404
United States |
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| Phone Number : | 612-813-6000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1154612463 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Apr, 2011 |
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| Last Updated On : | 18 Sep, 2022 |
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Medicare Participation:
Katharine Rae Lange participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6103191168 |
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| Medicare Enrollment ID : | I20230227000669 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Georgetown University School Of Medicine |
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| Graduation Year : | 2011 |
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| Accepts Medicare? | Yes. Katharine Rae Lange accepts medicare insurance. |
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Group Practice Association:
Katharine Rae Lange is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Katharine Rae Lange is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Hackensack Meridian Health Medical Group - Complex Care Pc | 0446272298 | 11 | 1945 State Hwy 33
Neptune, NJ - 077534859
Ph: 7327762333 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Katharine Rae Lange are as mentioned. Primary taxonomy code for Katharine Rae Lange, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 273683 | NY |
| 208000000X | Pediatrics | Yes | 62945 | MN |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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30 PROSPECT AVE,
HACKENSACK, NJ, 07601-1915
United States | HACKENSACK, NJ | 551-996-2000 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5901 Lincoln Drive, Cbc-2-rev/pe
Edina, MN, 55436-1611
United States |
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| Phone Number : | 952-992-5691 |
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| Fax Number : | 952-992-6917 |
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Business Location:
Patients can refer following map for directions to
Katharine Rae Lange practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.