Lake Regional Health System - Medicare in Osage Beach, MO

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Lake Regional Health System is a medicare enrolled "Emergency Medicine - Emergency Medical Services" provider in Osage Beach, Missouri. Their current practice location is 54 Hospital Dr, Osage Beach, Missouri. You can reach out to their office (for appointments etc.) via phone at (573) 348-8000.

Lake Regional Health System is licensed to practice in Missouri (license number 291-30) and it also participates in the medicare program. Lake Regional Health System is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1053581454.

Contact Information

Lake Regional Health System
54 Hospital Dr,
Osage Beach, MO 65065-3050
(573) 348-8000
(573) 348-8069

Map and Direction




Healthcare Provider's Profile

Full NameLake Regional Health System
TypeFacility
SpecialityEmergency Medicine - Emergency Medical Services
Location54 Hospital Dr, Osage Beach, Missouri
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053581454
  • Provider Enumeration Date: 03/03/2008
  • Last Update Date: 10/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9133026776
  • Enrollment ID: O20070511000147

Medical Identifiers

Medical identifiers for Lake Regional Health System such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053581454NPI-NPPES
540671609MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 291-30 (Missouri)Secondary
207PE0004XEmergency Medicine - Emergency Medical Services 291-30 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lake Regional Health System acts as a billing entity for following providers:
Provider NameRandall C Barnes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275577926
PECOS PAC ID: 7315850104
Enrollment ID: I20031107000419
Provider NameZubair A Khan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1861491854
PECOS PAC ID: 8729982582
Enrollment ID: I20031122000106
Provider NameJoan F Kelley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881604585
PECOS PAC ID: 1355385774
Enrollment ID: I20050616000720
Provider NameJeanne P Abbott
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1669467221
PECOS PAC ID: 2769460112
Enrollment ID: I20051025000004
Provider NameMuthu S Krishnan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1528089539
PECOS PAC ID: 8123048535
Enrollment ID: I20051130000636
Provider NameShahid Waheed
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1134122989
PECOS PAC ID: 0345260550
Enrollment ID: I20051202000490
Provider NameWendy L Walker
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1326287442
PECOS PAC ID: 3870515448
Enrollment ID: I20051222000648
Provider NameMark W Shen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265401285
PECOS PAC ID: 2860495702
Enrollment ID: I20060816000101
Provider NameVirginia A Nagy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396783445
PECOS PAC ID: 6709886633
Enrollment ID: I20061228000050
Provider NameDaniel L Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124199690
PECOS PAC ID: 4880781079
Enrollment ID: I20071105000494
Provider NameAmy Lockhert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265420293
PECOS PAC ID: 6103917588
Enrollment ID: I20071120000161
Provider NameGregory A Miller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891899829
PECOS PAC ID: 1456434190
Enrollment ID: I20080219000064
Provider NameHarjyot S Sohal
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1962468520
PECOS PAC ID: 2860564465
Enrollment ID: I20080626000163
Provider NameJames Jl Neill
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013181601
PECOS PAC ID: 3870668916
Enrollment ID: I20080825000153
Provider NameShari L Neill
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1548434384
PECOS PAC ID: 5395810444
Enrollment ID: I20080825000178
Provider NameShahbaz A Riaz
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1992952113
PECOS PAC ID: 9436227444
Enrollment ID: I20081003000564
Provider NameJulie L Russell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225024839
PECOS PAC ID: 1456414762
Enrollment ID: I20090113000677
Provider NameKathleen A Champion
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1245475235
PECOS PAC ID: 4183787039
Enrollment ID: I20090120000511
Provider NamePatrick W Oneil
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508997636
PECOS PAC ID: 5193882371
Enrollment ID: I20090316000674
Provider NameDavid N Bergthold
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336331065
PECOS PAC ID: 1850442450
Enrollment ID: I20090622000306
Provider NameKristen A Theobald
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932201837
PECOS PAC ID: 2567514656
Enrollment ID: I20090721000539
Provider NameDebra A Atkinson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376515080
PECOS PAC ID: 9436285681
Enrollment ID: I20100327000211
Provider NameMark R Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477559490
PECOS PAC ID: 4789712688
Enrollment ID: I20100513000999
Provider NameMichael H. Ledbetter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477552479
PECOS PAC ID: 7618005521
Enrollment ID: I20100513001089
Provider NameNeil Schwartzman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295806750
PECOS PAC ID: 4688582026
Enrollment ID: I20100809000138
Provider NameBecky A Watson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1841285681
PECOS PAC ID: 4082792213
Enrollment ID: I20100810000783
Provider NameMichael J Durham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326005190
PECOS PAC ID: 2860402302
Enrollment ID: I20100826000652
Provider NameHeidi C Calipjo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720288236
PECOS PAC ID: 4981728623
Enrollment ID: I20100901000389
Provider NameAmy B Thompson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1457454704
PECOS PAC ID: 7012032816
Enrollment ID: I20100916001185
Provider NamePhilip J Kurle
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1184692568
PECOS PAC ID: 8426047911
Enrollment ID: I20100924001351
Provider NamePatience R Mccoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417116187
PECOS PAC ID: 1153518089
Enrollment ID: I20101204000110
Provider NameJeffrey D Fears
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598738536
PECOS PAC ID: 4082893649
Enrollment ID: I20110127001118
Provider NameHarbaksh Singh Sangha
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1629170741
PECOS PAC ID: 7214118785
Enrollment ID: I20110217000202
Provider NameBrandi N Kincaid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144527490
PECOS PAC ID: 3870775638
Enrollment ID: I20110315000939
Provider NameJoshua P Brickner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598994493
PECOS PAC ID: 8426231580
Enrollment ID: I20110328000108
Provider NameTrent K Russell
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134115744
PECOS PAC ID: 6507041431
Enrollment ID: I20110419000762
Provider NameJohn C Brand
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144451774
PECOS PAC ID: 1355480609
Enrollment ID: I20110727000309
Provider NameSailaja Tummala
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174690630
PECOS PAC ID: 5193819050
Enrollment ID: I20110907000785
Provider NameDale A Lockhert
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659369635
PECOS PAC ID: 5597864751
Enrollment ID: I20110919000724
Provider NameMohammad Zubair Malik
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1174701411
PECOS PAC ID: 0840374310
Enrollment ID: I20110920000589
Provider NameKaren S Hayes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003812918
PECOS PAC ID: 6103729629
Enrollment ID: I20130808000325
Provider NameDeborah A King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700227691
PECOS PAC ID: 4082857925
Enrollment ID: I20130826000465
Provider NameChristine A Livek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194758011
PECOS PAC ID: 2163486036
Enrollment ID: I20130925000186
Provider NameLaura K Seaman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013321306
PECOS PAC ID: 7113143215
Enrollment ID: I20140725001577
Provider NameJason W Blair
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1588951750
PECOS PAC ID: 0143446112
Enrollment ID: I20140728002108
Provider NameCherie L Sommer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659707669
PECOS PAC ID: 1557588282
Enrollment ID: I20140804001491
Provider NameAngela Breckenridge
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1801976261
PECOS PAC ID: 5395657811
Enrollment ID: I20141014002239
Provider NameStacy L Sederwall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255720876
PECOS PAC ID: 2860719689
Enrollment ID: I20150316001334
Provider NameAndrew J Blaes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659763993
PECOS PAC ID: 1951628932
Enrollment ID: I20150401000713
Provider NameAndrew J Revelle
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528314275
PECOS PAC ID: 0244465490
Enrollment ID: I20150612001273
Provider NameRene L Revelle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639584139
PECOS PAC ID: 6507082559
Enrollment ID: I20150713002005
Provider NameTeresa Buol
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780787937
PECOS PAC ID: 1951614916
Enrollment ID: I20150720002167
Provider NameEricca L Coon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699144451
PECOS PAC ID: 5193034130
Enrollment ID: I20151014001807
Provider NameJennifer C Vargas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760848410
PECOS PAC ID: 9032409669
Enrollment ID: I20160609001285
Provider NameKatherine T. Becker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922457886
PECOS PAC ID: 1052603560
Enrollment ID: I20160701000616
Provider NameChelsie Deardeuff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841749660
PECOS PAC ID: 8123307584
Enrollment ID: I20161108001488
Provider NameTilly Schmidt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982147500
PECOS PAC ID: 9335420611
Enrollment ID: I20161228000636
Provider NameKimberly D Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932203262
PECOS PAC ID: 5294622833
Enrollment ID: I20170727003314
Provider NameKatrina R Lock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245505585
PECOS PAC ID: 1658503461
Enrollment ID: I20170920002908
Provider NameCharles Wesley Powell
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1346246105
PECOS PAC ID: 3577720051
Enrollment ID: I20180627002000
Provider NameApril L Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356836266
PECOS PAC ID: 7113273855
Enrollment ID: I20180710003378
Provider NameEvgeniya Banina
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205280427
PECOS PAC ID: 2062707219
Enrollment ID: I20190724000298
Provider NameAnton Kosov
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619321817
PECOS PAC ID: 8820324981
Enrollment ID: I20190726000745
Provider NameKimber Leigh Guinn
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1962853986
PECOS PAC ID: 8426341223
Enrollment ID: I20190805001707
Provider NameKari Anne Little
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336783265
PECOS PAC ID: 0143653162
Enrollment ID: I20191205001692
Provider NameHailey Dunn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083249213
PECOS PAC ID: 9739510660
Enrollment ID: I20200511000206
Provider NameMichelle Helton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194257378
PECOS PAC ID: 5092085787
Enrollment ID: I20200817000150
Provider NameOluwakunle Oluwatosin
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1396912796
PECOS PAC ID: 1557439262
Enrollment ID: I20201207000637
Provider NameJessica Ann Whitworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265025910
PECOS PAC ID: 2062821523
Enrollment ID: I20210513000394
Provider NameRachel L Van Den Top
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1467025460
PECOS PAC ID: 1153726237
Enrollment ID: I20210827001620
Provider NameAngela Thill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790452225
PECOS PAC ID: 0840695888
Enrollment ID: I20210830000306
Provider NameChelsea Megan Pendleton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427663863
PECOS PAC ID: 6800292954
Enrollment ID: I20210915000935
Provider NameMichael Allen Kirkover
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366892986
PECOS PAC ID: 2365735263
Enrollment ID: I20210929001119
Provider NameHilary Ann English
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083366033
PECOS PAC ID: 9638564875
Enrollment ID: I20220324001929
Provider NameShoaib Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548767130
PECOS PAC ID: 4385909951
Enrollment ID: I20220329001083
Provider NameLyndsay D Funke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164177069
PECOS PAC ID: 6507253721
Enrollment ID: I20220418001863
Provider NameKatherine Mae Helton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780328401
PECOS PAC ID: 9537548029
Enrollment ID: I20220613002149
Provider NameCraig Brian Eden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285361048
PECOS PAC ID: 1557745288
Enrollment ID: I20220830002786
Provider NameKaitlen Baker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467911750
PECOS PAC ID: 3476883752
Enrollment ID: I20221018002311
Provider NameHolly Bruemmer
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1588238901
PECOS PAC ID: 6800266347
Enrollment ID: I20221228001261
Provider NameTeresa Lynne Bauer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295446706
PECOS PAC ID: 2961875315
Enrollment ID: I20230306000727
Provider NameKiarra Kay Pearcy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922706118
PECOS PAC ID: 8224402342
Enrollment ID: I20230313001256
Provider NameBrianna Rachel Webb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306552575
PECOS PAC ID: 7012382807
Enrollment ID: I20230410000556
Provider NameJennifer Buckingham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447950878
PECOS PAC ID: 6507231875
Enrollment ID: I20230419001006
Provider NameWendy Schmitz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295727030
PECOS PAC ID: 3476610601
Enrollment ID: I20230501002270
Provider NameKaydie Ann Dial
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306520812
PECOS PAC ID: 8123487980
Enrollment ID: I20230711003345
Provider NameAdam Lloyd Ilgen
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1174212708
PECOS PAC ID: 6406216977
Enrollment ID: I20230714003121
Provider NameMolly Elizabeth Johnson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326543661
PECOS PAC ID: 6608124052
Enrollment ID: I20230718002900
Provider NameJeanette Dilan-koetje
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538499454
PECOS PAC ID: 5294979399
Enrollment ID: I20230915001328
Provider NameHallie Jean Willis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154107654
PECOS PAC ID: 9638526478
Enrollment ID: I20231115002900
Provider NameBritny Rockelman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679336069
PECOS PAC ID: 5698115053
Enrollment ID: I20240502000247

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. Lake Regional Health System 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
Lake Regional Health System
Po Box 801661,
Kansas City, MO 64180-3050

Ph: (573) 348-8000		Lake Regional Health System
54 Hospital Dr,
Osage Beach, MO 65065-3050

Ph: (573) 348-8000

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.