Bethany T Lake, MD is a medicare enrolled "Family Medicine" physician in E. Waterboro, Maine. Her current practice location is
10 Goodall Drive, Suite 100, E. Waterboro, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 490-7970.
Bethany T Lake is licensed to practice in Maine (license number 015660) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649234378.
Physician's Profile
Full Name | Bethany T Lake |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 10 Goodall Drive, E. Waterboro, Maine |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Bethany T Lake attended and graduated from in
NPI Data:
- NPI Number: 1649234378
- Provider Enumeration Date: 04/12/2006
- Last Update Date: 12/18/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Bethany T Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649234378 | NPI | - | NPPES |
247150099 | Medicaid | ME | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 015660 (Maine) | Primary |
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. Bethany T 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 |
Bethany T Lake, MD 1 Medical Center Drive, Po Box 626, Biddeford, ME 04005 Ph: (207) 282-9080 | Bethany T Lake, MD 10 Goodall Drive, Suite 100, E. Waterboro, ME 04030 Ph: (207) 490-7970 |
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