Ms Jessica Elaine Lake, MS, RDN, LD in Erie, PA - Medicare Dietitian, Registered Provider

Ms Jessica Elaine Lake, MS, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Erie, Pennsylvania. Her current practice location is 3910 Caughey Rd Ste 200, Erie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 580-8808.

Ms Jessica Elaine Lake is licensed to practice in Pennsylvania (license number DN007374) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154910214.

Contact Information

	Ms Jessica Elaine Lake, MS, RDN, LD
	3910 Caughey Rd Ste 200, Erie, PA 16506-4098
	(814) 580-8808
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jessica Elaine Lake
Gender	Female
Speciality	Dietitian, Registered
Location	3910 Caughey Rd Ste 200, Erie, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154910214
Provider Enumeration Date: 01/13/2021
Last Update Date: 09/25/2024

Medicare PECOS Information:

PECOS PAC ID: 8921447756
Enrollment ID: I20240412003163

Medical Identifiers

Medical identifiers for Ms Jessica Elaine Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154910214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	LD.09340 (Ohio)	Secondary
133V00000X	Dietitian, Registered	DN007374 (Pennsylvania)	Primary

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. Ms Jessica Elaine Lake allows following entities to bill medicare on her behalf.

Provider Name	Jessy Brinling Nutrition Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669234381 PECOS PAC ID: 7012356843 Enrollment ID: O20240412002721

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. Ms Jessica Elaine 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 Address	Practice Location Address
Ms Jessica Elaine Lake, MS, RDN, LD 3910 Caughey Rd Ste 200, Erie, PA 16506-4098 Ph: (814) 580-8808	Ms Jessica Elaine Lake, MS, RDN, LD 3910 Caughey Rd Ste 200, Erie, PA 16506-4098 Ph: (814) 580-8808

Reviews and Comments

Dietitian, Registered in Erie, PA

Kimberly Riley Eccles, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3330 Peach St, Suite 211, Erie, PA 16508 Phone: 814-877-5484 Fax: 814-877-5489
Natalie A Kujan, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5515 Peach St, Erie, PA 16509 Phone: 814-864-4031 Fax: 814-868-7770
Heather Leann Fortsch, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1720 Holland St, Erie, PA 16503 Phone: 814-453-5747
Mrs. Jamie L Moraski, RD,LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3822 Colonial Ave, Erie, PA 16506 Phone: 814-835-2626 Fax: 814-835-2646
Ms. Kimberly Ann Crowl, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 350 E Bayfront Pkwy, Unit C, Erie, PA 16507 Phone: 814-455-2279 Fax: 814-871-1786
Marianne Schneider, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 135 E 38th St, Erie, PA 16504 Phone: 814-860-2146 Fax: 814-860-2111
Ashley Lauria, RD, LDN, CLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 135 E 38th St, Erie, PA 16504 Phone: 814-860-2361

Ms Jessica Elaine Lake, MS, RDN, LD - Medicare Dietitian in Erie, PA