Jason Edward Lake, MD - Medicare Orthopedic Surgery in Gilbert, AZ

Jason Edward Lake, MD is a medicare enrolled "Orthopaedic Surgery - Foot And Ankle Surgery" physician in Gilbert, Arizona. He went to University Of Arizona College Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Bhsm Rehabilitation Llc, Orthopedic Specialists Of North America Pllc and his current practice location is 2940 E Banner Gateway Dr Ste 200-250, Gilbert, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 964-2908.

Jason Edward Lake is licensed to practice in Arizona (license number 42724) 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 1205051430.

Contact Information

Jason Edward Lake, MD
2940 E Banner Gateway Dr Ste 200-250,
Gilbert, AZ 85234-2168
(480) 964-2908
(480) 833-2136



Physician's Profile

Full NameJason Edward Lake
GenderMale
SpecialityOrthopedic Surgery
Experience20 Years
Location2940 E Banner Gateway Dr Ste 200-250, Gilbert, Arizona
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:
  • Jason Edward Lake attended and graduated from University Of Arizona College Of Medicine in 2004
  NPI Data:
  • NPI Number: 1205051430
  • Provider Enumeration Date: 04/14/2007
  • Last Update Date: 07/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7810041985
  • Enrollment ID: I20100922000579

Medical Identifiers

Medical identifiers for Jason Edward Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205051430NPI-NPPES
3Z5372OtherAZHEALTHNET

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 19568 (Mississippi)Secondary
207X00000XOrthopaedic Surgery 35. 093195 (Ohio)Secondary
207X00000XOrthopaedic Surgery 42724 (Arizona)Secondary
207XX0004XOrthopaedic Surgery - Foot And Ankle Surgery 42724 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Arizona Spine And Joint HospitalMesa, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bhsm Rehabilitation Llc20627731381258
Orthopedic Specialists Of North America Pllc7719014505270

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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. Jason Edward Lake allows following entities to bill medicare on his behalf.
Entity NameOrthopedic Specialists Of North America Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770812828
PECOS PAC ID: 7719014505
Enrollment ID: O20100428000061

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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. Jason Edward 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
Jason Edward Lake, MD
Po Box 80217,
Phoenix, AZ 85060-0217

Ph: (602) 385-2115
Jason Edward Lake, MD
2940 E Banner Gateway Dr Ste 200-250,
Gilbert, AZ 85234-2168

Ph: (480) 964-2908

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Orthopaedic Surgery Doctors in Gilbert, AZ

Dr. John H. Crothers, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234
Phone: 480-543-6700    Fax: 480-543-6725
Frank J Raia, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3420 S Mercy Rd, Ste 200, Gilbert, AZ 85297
Phone: 623-537-5600    Fax: 866-939-2673
Ryan Anthony Neeley, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1920 N Higley Rd, Gilbert, AZ 85234
Phone: 480-543-6700    Fax: 480-543-6725
William Michael Meszaros, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3487 S Mercy Rd, Gilbert, AZ 85297
Phone: 480-222-5601    Fax: 480-222-5607
Cynthia L Kooima, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2940 E Banner Gateway Dr, Ste 200, Gilbert, AZ 85234
Phone: 602-648-5444    Fax: 602-772-3801
Dr. Ralph Valentine Wilson, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2940 E Banner Gateway Dr, #200, Gilbert, AZ 85234
Phone: 480-964-2908    Fax: 480-833-2136
Brent Cameron Anderson, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3591 S Mercy Rd Ste 204, Gilbert, AZ 85297
Phone: 866-974-2673    Fax: 866-939-2673

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