Dr David Theo Lake, MD - Medicare Hospitalist in Sumter, SC

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Dr David Theo Lake, MD is a medicare enrolled "Hospitalist" physician in Sumter, South Carolina. He went to University Of South Carolina School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Prisma Health Medical Group-midlands and his current practice location is 129 N Washington St, Sumter, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 774-9680.

Dr David Theo Lake is licensed to practice in South Carolina (license number 85514) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154853430.

Contact Information

Dr David Theo Lake, MD
129 N Washington St,
Sumter, SC 29150-4949
(803) 774-9680
(803) 434-3955

Map and Direction




Physician's Profile

Full NameDr David Theo Lake
GenderMale
SpecialityHospitalist
Experience7 Years
Location129 N Washington St, Sumter, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr David Theo Lake attended and graduated from University Of South Carolina School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1154853430
  • Provider Enumeration Date: 03/28/2017
  • Last Update Date: 08/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6204103245
  • Enrollment ID: I20210805002004

Medical Identifiers

Medical identifiers for Dr David Theo Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154853430NPI-NPPES
855140MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 85514 (South Carolina)Secondary
208M00000XHospitalist 85514 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prisma Health TuomeySumter, SCHome health agency
Palmetto Health Tuomey HospiceSumter, SCHospice
Prisma Heath Tuomey HospitalSumter, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prisma Health Medical Group-midlands5991099707881

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. Dr David Theo Lake allows following entities to bill medicare on his behalf.
Entity NameMcleod Regional Medical Center Of The Pee Dee, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154371433
PECOS PAC ID: 7416851852
Enrollment ID: O20031126000251
Entity NamePrisma Health Medical Group-midlands
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275988321
PECOS PAC ID: 5991099707
Enrollment ID: O20160802001226

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. Dr David Theo 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
Dr David Theo Lake, MD
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842

Ph: (864) 522-8603		Dr David Theo Lake, MD
129 N Washington St,
Sumter, SC 29150-4949

Ph: (803) 774-9680

Reviews and Comments


Hospitalist Doctors in Sumter, SC

Dr. Terry Anthony Godfrey, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-774-9680    
Rima Gandhi, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-774-9680    Fax: 803-434-3955
Oliver Pierre Harden, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-774-1788    
Dr. Suwarat Wongjittraporn, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-771-1788    Fax: 803-774-9113
Abhishek Malkan,
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-774-9680    Fax: 803-434-3955
Guy R Bibeau, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-778-5248    

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.