Dr Russell William Lake, MD in Richmond Hill, GA

Dr Russell William Lake, MD is a medicare enrolled "Family Medicine" physician in Richmond Hill, Georgia. He went to Medical University Of South Carolina College Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sjc Medical Group Inc and his current practice location is 10055 Ford Avenue, Suite 3a, Richmond Hill, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 819-9601.

Dr Russell William Lake is licensed to practice in Georgia (license number 75198) 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 1104081082.

Contact Information

	Dr Russell William Lake, MD
	10055 Ford Avenue, Suite 3a, Richmond Hill, GA 31324
	(912) 819-9601
	(912) 819-9605

Map and Direction

Physician's Profile

Full Name	Dr Russell William Lake
Gender	Male
Speciality	Family Practice
Experience	17 Years
Location	10055 Ford Avenue, Richmond Hill, Georgia
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 Russell William Lake attended and graduated from Medical University Of South Carolina College Of Medicine in 2007

NPI Data:

NPI Number: 1104081082
Provider Enumeration Date: 07/21/2008
Last Update Date: 10/19/2021

Medicare PECOS Information:

PECOS PAC ID: 7911187125
Enrollment ID: I20110204000650

Medical Identifiers

Medical identifiers for Dr Russell William Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104081082	NPI	-	NPPES
200480198D	Medicaid	GA
003213522B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	31545 (South Carolina)	Secondary
207Q00000X	Family Medicine	75198 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph's/ Candler Home Healthcare	Hinesville, GA	Home health agency
Amedisys Home Health	Savannah, GA	Home health agency
St Joseph's Hospital - Savannah	Savannah, GA	Hospital
Candler Hospital	Savannah, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sjc Medical Group Inc	7719978105	49

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 Russell William Lake allows following entities to bill medicare on his behalf.

Entity Name	Sjc Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811233828 PECOS PAC ID: 7719978105 Enrollment ID: O20040524000690

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 Russell William 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 Russell William Lake, MD 836 E. 65th Street, Suite 22, Savannah, GA 31405 Ph: (912) 819-7878	Dr Russell William Lake, MD 10055 Ford Avenue, Suite 3a, Richmond Hill, GA 31324 Ph: (912) 819-9601

Reviews and Comments

Family Medicine Doctors in Richmond Hill, GA

Jerrod Anderson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3866 Belfast Keller Rd Ste 102, Richmond Hill, GA 31324 Phone: 912-819-9620 Fax: 912-819-9621
Daniel Aaron Brody, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3776 Us Highway 17, Richmond Hill, GA 31324 Phone: 912-350-7020
Dr. Jennifer Leigh Kirkman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10055 Ford Ave Ste 3a, Richmond Hill, GA 31324 Phone: 888-912-3648
Dr. Grant Allan Foster, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 58 Grace Ct, Richmond Hill, GA 31324 Phone: 912-727-3393
Dr. Deronda Felicia Brown, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1604 River Oaks Dr, Richmond Hill, GA 31324 Phone: 912-445-5183 Fax: 912-445-5183
Rebecca Marshburn Sellers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 89 Interchange Dr, Richmond Hill, GA 31324 Phone: 912-527-5301 Fax: 912-756-4740

Dr Russell William Lake, MD - Medicare Family Practice in Richmond Hill, GA