Dr Douglas R Lake, MD in Ames, IA - Medicare Diagnostic Radiology

Dr Douglas R Lake, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Ames, Iowa. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2002 and has 22 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Mcfarland Clinic Pc, Broadlawns Medical Center and his current practice location is 1215 Duff Avenue, Ames, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 239-4456.

Dr Douglas R Lake is licensed to practice in Iowa (license number 37861) 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 1194808394.

Contact Information

	Dr Douglas R Lake, MD
	1215 Duff Avenue, Ames, IA 50010-3014
	(515) 239-4456
	(515) 239-4761

Map and Direction

Physician's Profile

Full Name	Dr Douglas R Lake
Gender	Male
Speciality	Diagnostic Radiology
Experience	22 Years
Location	1215 Duff Avenue, Ames, Iowa
Accepts Medicare Assignments	Yes. 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 Douglas R Lake attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2002

NPI Data:

NPI Number: 1194808394
Provider Enumeration Date: 10/23/2006
Last Update Date: 11/03/2020

Medicare PECOS Information:

PECOS PAC ID: 1456457407
Enrollment ID: I20080726000071

Medical Identifiers

Medical identifiers for Dr Douglas R Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194808394	NPI	-	NPPES
01626	Other		BC/BS NE
10025186700	Medicaid	NE
10025173600	Medicaid	NE
69958751	Medicaid	CO
1194808394	Medicaid	IA
200145166	Other	IA	WELLMARK SELECT FIRST
201477608	Other	IA	WELLMARK SELECT FIRST
P00619095	Other	IA	RR MEDICARE
P00619099	Other	NE	RR MEDICARE
7729430	Medicaid	SD
10025248800	Medicaid	NE
34783	Other		BC/BS NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	37861 (Iowa)	Primary
2085R0202X	Radiology - Diagnostic Radiology	23902 (South Carolina)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	24188 (Nebraska)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	A99351 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mary Greeley Medical Center	Ames, IA	Hospital
Boone County Hospital	Boone, IA	Hospital
Broadlawns Medical Center	Des moines, IA	Hospital
Unitypoint Health-marshalltown	Marshalltown, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mcfarland Clinic Pc	1254244239	314
Broadlawns Medical Center	3678466166	219

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 Douglas R Lake allows following entities to bill medicare on his behalf.

Entity Name	Mcfarland Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639135643 PECOS PAC ID: 1254244239 Enrollment ID: O20031106000338

Entity Name	Broadlawns Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913

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 Douglas R 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
Dr Douglas R Lake, MD Po Box 3014, 1215 Duff Avenue, Ames, IA 50010-3014 Ph: (515) 239-4456	Dr Douglas R Lake, MD 1215 Duff Avenue, Ames, IA 50010-3014 Ph: (515) 239-4456

Reviews and Comments

Radiology Doctors in Ames, IA

Karl Hamouche, Radiology Medicare: Medicare Enrolled Practice Location: 1215 Duff Ave, Ames, IA 50010 Phone: 515-239-4456
Dr. Nima Ahmad Golchin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1215 Duff Ave, Ames, IA 50010 Phone: 515-239-4456 Fax: 515-239-4761
John George Hardie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 Duff Avenue, Ames, IA 50010 Phone: 515-239-2411 Fax: 515-956-2714
David S. Sosnouski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1215 Duff Avenue, Ames, IA 50010 Phone: 515-239-4456 Fax: 515-239-4761
Dr. Lyman Shane Hopkins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 Duff Ave, Ames, IA 50010 Phone: 515-239-2411 Fax: 515-956-2714
Dr. John Dee Shierholz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1215 Duff Ave, Ames, IA 50010 Phone: 515-239-4456 Fax: 515-239-4761

Dr Douglas R Lake, MD - Medicare Diagnostic Radiology in Ames, IA