Bethany T Lake, MD is a medicare enrolled "Family Medicine" physician in E. Waterboro, Maine. She went to University Of Vermont College Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mainehealth and 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 | Family Practice |
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Experience | 26 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 University Of Vermont College Of Medicine in 1998
NPI Data:
- NPI Number: 1649234378
- Provider Enumeration Date: 04/12/2006
- Last Update Date: 12/18/2014
Medicare PECOS Information:
- PECOS PAC ID: 7618911868
- Enrollment ID: I20050617000597
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 |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mainehealth | 7517860588 | 2109 |
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. Bethany T Lake allows following entities to bill medicare on her behalf.
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
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Entity Name | Southern Maine Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659392819 PECOS PAC ID: 0143208348 Enrollment ID: O20040713001060 |
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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. 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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