Dr Douglas R Lake, MD - Medicare Diagnostic Radiology in Ames, IA

Dr Douglas R Lake, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Ames, Iowa. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2002 and has 22 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Stanford Health Care, Broadlawns Medical Center, Mcfarland Clinic Pc and his current practice location is 1215 Duff Avenue, Ames, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 239-4456.

Dr Douglas R Lake is licensed to practice in Iowa (license number 37861) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194808394.

Contact Information

Dr Douglas R Lake, MD
1215 Duff Avenue,
Ames, IA 50010-3014
(515) 239-4456
(515) 239-4761



Physician's Profile

Full NameDr Douglas R Lake
GenderMale
SpecialityDiagnostic Radiology
Experience22 Years
Location1215 Duff Avenue, Ames, Iowa
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Douglas R Lake attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2002
  NPI Data:
  • NPI Number: 1194808394
  • Provider Enumeration Date: 10/23/2006
  • Last Update Date: 11/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1456457407
  • Enrollment ID: I20070508000234

Medical Identifiers

Medical identifiers for Dr Douglas R Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194808394NPI-NPPES
01626OtherBC/BS NE
10025186700MedicaidNE
10025173600MedicaidNE
69958751MedicaidCO
1194808394MedicaidIA
200145166OtherIAWELLMARK SELECT FIRST
201477608OtherIAWELLMARK SELECT FIRST
P00619095OtherIARR MEDICARE
P00619099OtherNERR MEDICARE
7729430MedicaidSD
10025248800MedicaidNE
34783OtherBC/BS NE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 37861 (Iowa)Primary
2085R0202XRadiology - Diagnostic Radiology 23902 (South Carolina)Secondary
2085R0202XRadiology - Diagnostic Radiology 24188 (Nebraska)Secondary
2085R0202XRadiology - Diagnostic Radiology A99351 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mary Greeley Medical CenterAmes, IAHospital
Boone County HospitalBoone, IAHospital
Broadlawns Medical CenterDes moines, IAHospital
Stanford Health CareStanford, CAHospital
Mercyone Des Moines Medical CenterDes moines, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stanford Health Care67097974912572
Broadlawns Medical Center3678466166207
Mcfarland Clinic Pc1254244239320

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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 Douglas R Lake allows following entities to bill medicare on his behalf.
Entity NameStanford Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348

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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 Douglas R Lake 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
Dr Douglas R Lake, MD
Po Box 3014, 1215 Duff Avenue,
Ames, IA 50010-3014

Ph: (515) 239-4456
Dr Douglas R Lake, MD
1215 Duff Avenue,
Ames, IA 50010-3014

Ph: (515) 239-4456

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Radiology Doctors in Ames, IA

Dr. Nima Ahmad Golchin, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Duff Ave, Ames, IA 50010
Phone: 515-239-4456    Fax: 515-239-4761
John George Hardie, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Duff Avenue, Ames, IA 50010
Phone: 515-239-2411    Fax: 515-956-2714
David S. Sosnouski, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Duff Avenue, Ames, IA 50010
Phone: 515-239-4456    Fax: 515-239-4761
Dr. Lyman Shane Hopkins, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Duff Ave, Ames, IA 50010
Phone: 515-239-2411    Fax: 515-956-2714
Dr. John Dee Shierholz, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1215 Duff Ave, Ames, IA 50010
Phone: 515-239-4456    Fax: 515-239-4761
Dean C. Gute, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: Mcfarland Clinkc, Pc, 1215 Duff Ave, Ames, IA 50010
Phone: 515-239-4456    Fax: 515-239-4761

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