Carissa A Webster-lake, MD - Medicare Vascular Surgery in West Hartford, CT

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Carissa A Webster-lake, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in West Hartford, Connecticut. She went to Boston University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Vascular Surgery. She is a member of the group practice Riverbend Medical Group Inc and her current practice location is 2550 Albany Ave # 1056, West Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (617) 869-0135.

Carissa A Webster-lake is licensed to practice in Tennessee (license number 59921) 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 1134448269.

Contact Information

Carissa A Webster-lake, MD
2550 Albany Ave # 1056,
West Hartford, CT 06117-2335
(617) 869-0135
Not Available

Map and Direction




Physician's Profile

Full NameCarissa A Webster-lake
GenderFemale
SpecialityVascular Surgery
Experience14 Years
Location2550 Albany Ave # 1056, West Hartford, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carissa A Webster-lake attended and graduated from Boston University School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1134448269
  • Provider Enumeration Date: 05/28/2010
  • Last Update Date: 08/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9830467935
  • Enrollment ID: I20230515000942

Medical Identifiers

Medical identifiers for Carissa A Webster-lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134448269NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 54698 (Connecticut)Secondary
2086S0129XSurgery - Vascular Surgery 54698 (Connecticut)Secondary
2086S0129XSurgery - Vascular Surgery 0101279557 (Virginia)Secondary
2086S0129XSurgery - Vascular Surgery 59921 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Medical CtrSpringfield, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Riverbend Medical Group Inc5698064343159

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. Carissa A Webster-lake allows following entities to bill medicare on her behalf.
Entity NameRiverbend Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841651197
PECOS PAC ID: 5698064343
Enrollment ID: O20160614001710

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. Carissa A Webster-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
Carissa A Webster-lake, MD
2550 Albany Ave # 1056,
West Hartford, CT 06117-2335

Ph: () -		Carissa A Webster-lake, MD
2550 Albany Ave # 1056,
West Hartford, CT 06117-2335

Ph: (617) 869-0135

Reviews and Comments


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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.

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