John Richard Lake, MD - Medicare Gastroenterology in Minneapolis, MN

John Richard Lake, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Minneapolis, Minnesota. He went to University Of Minnesota Medical School and graduated in 1979 and has 45 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice The Duluth Clinic Ltd, Fairview Express Care and his current practice location is University Of Minnesota Physicians, 516 Delaware Street Se, Clinic 2a, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 626-6100.

John Richard Lake is licensed to practice in Minnesota (license number 40739) 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 1740360619.

Contact Information

John Richard Lake, MD
University Of Minnesota Physicians, 516 Delaware Street Se, Clinic 2a,
Minneapolis, MN 55454-1478
(612) 626-6100
Not Available



Physician's Profile

Full NameJohn Richard Lake
GenderMale
SpecialityGastroenterology
Experience45 Years
LocationUniversity Of Minnesota Physicians, Minneapolis, Minnesota
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:
  • John Richard Lake attended and graduated from University Of Minnesota Medical School in 1979
  NPI Data:
  • NPI Number: 1740360619
  • Provider Enumeration Date: 10/16/2006
  • Last Update Date: 10/26/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8224005285
  • Enrollment ID: I20040910000652

Medical Identifiers

Medical identifiers for John Richard Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740360619NPI-NPPES
124409OtherMNUCARE
29-00011OtherMNMEDICA-PRIMARY
784417OtherARAZ
0506741MedicaidIA
114843OtherMNFAIRVIEW
03G121LAOtherMNBCBS
1017135OtherMNPREFERRED ONE
480019200MedicaidMN
HP28838OtherMNHEALTH PARTNERS
32420100MedicaidWI
2900020OtherMNMEDICA-CHOICE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 40739 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital
Essentia Health DuluthDuluth, MNHospital
Fairview Ridges HospitalBurnsville, MNHospital
Abbott Northwestern HospitalMinneapolis, MNHospital
Healtheast Woodwinds HospitalWoodbury, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Duluth Clinic Ltd2567374283932
Fairview Express Care33756451791523

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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. John Richard Lake allows following entities to bill medicare on his behalf.
Entity NameThe Duluth Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229

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Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532

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Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461

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Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516

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Entity NameHealtheast Woodwinds Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356309322
PECOS PAC ID: 9638082563
Enrollment ID: O20031107000110

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Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507

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Entity NameHealtheast St Joseph's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134186273
PECOS PAC ID: 2365348869
Enrollment ID: O20031208000245

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Entity NameHealtheast St John's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447218482
PECOS PAC ID: 9234035742
Enrollment ID: O20031208000320

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Entity NameHealtheast Care System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194787465
PECOS PAC ID: 7214833763
Enrollment ID: O20031208000483

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Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

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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. John Richard 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
John Richard Lake, MD
University Of Minnesota Physicians, 420 Delaware St Se, Mmc 36,
Minneapolis, MN 55455

Ph: (612) 626-6100
John Richard Lake, MD
University Of Minnesota Physicians, 516 Delaware Street Se, Clinic 2a,
Minneapolis, MN 55454-1478

Ph: (612) 626-6100

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Internal Medicine Doctors in Minneapolis, MN

Pascal Frino, M.D
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Veterans Dr, Minneapolis, MN 55417
Phone: 612-467-3183    
Dr. Ronald Alexander Reilkoff, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 909 Fulton St Se, Minneapolis, MN 55455
Phone: 612-672-7422    
Eugenia Shmidt, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 909 Fulton St Se, Minneapolis, MN 55455
Phone: 507-284-2511    
Daniel Tesfaye Kebed, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454
Phone: 612-672-6000    Fax: 612-273-4098
Tenzin Yangchen, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407
Phone: 612-863-4000    Fax: 763-236-3026
Shelley M Lennox, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 920 E 28th St, Suite 700, Minneapolis, MN 55407
Phone: 612-863-9062    Fax: 612-863-9252
Dr. Markus Meyer, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454
Phone: 612-672-6000    

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