Dr Jonathan Ian Lake, MD in Philadelphia, PA

Dr Jonathan Ian Lake, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Philadelphia, Pennsylvania. His current practice location is 3400 Spruce St, 100 Centrex, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-2200.

Dr Jonathan Ian Lake is licensed to practice in Pennsylvania (license number MD472772) 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 1568857084.

Contact Information

	Dr Jonathan Ian Lake, MD
	3400 Spruce St, 100 Centrex, Philadelphia, PA 19104-4238
	(215) 662-2200
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jonathan Ian Lake
Gender	Male
Speciality
Experience	Years
Location	3400 Spruce St, Philadelphia, Pennsylvania
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 Jonathan Ian Lake attended and graduated from in

NPI Data:

NPI Number: 1568857084
Provider Enumeration Date: 04/01/2015
Last Update Date: 03/10/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Jonathan Ian Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568857084	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD472772 (Pennsylvania)	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. Dr Jonathan Ian 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 Jonathan Ian Lake, MD 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (215) 662-2200	Dr Jonathan Ian Lake, MD 3400 Spruce St, 100 Centrex, Philadelphia, PA 19104-4238 Ph: (215) 662-2200

Reviews and Comments

Pathology Doctors in Philadelphia, PA

Jason Nathaniel Rosenbaum, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-3000 Fax: 215-829-7564
Donghwa Baek, Pathology Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151
Dr. Vivianna Maia Van Deerlin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 7.103 Founders Pavillion, Philadelphia, PA 19104 Phone: 215-662-6550 Fax: 215-662-7529
Zissimos Mourelatos, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-3000 Fax: 215-829-7564
Mariusz A Wasik, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 333 Cottman Ave, Philadelphia, PA 19111 Phone: 215-728-3675 Fax: 215-728-2848
Adrienne Catharine Carruth Griffin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104 Phone: 215-662-4829
Tirumala Lakshmi Kumari Pentakota, M.D Pathology Medicare: Not Enrolled in Medicare Practice Location: 245 N 15th St, Mail Stop 435, Philadelphia, PA 19102 Phone: 215-762-1179

Dr Jonathan Ian Lake, MD - Medicare in Philadelphia, PA