Jennifer Lake, DPT, PT is a medicare enrolled "Physical Therapist" physician in Mount Vernon, Ohio. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Rehabilitative Associates Inc and her current practice location is
112 Harcourt Rd, Mount Vernon, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 392-8811.
Jennifer Lake is licensed to practice in Ohio (license number PT018511) 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 1669007597.
Physician's Profile
| Full Name | Jennifer Lake |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 6 Years |
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| Location | 112 Harcourt Rd, Mount Vernon, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jennifer Lake graduated from medical school in 2019
NPI Data:
- NPI Number: 1669007597
- Provider Enumeration Date: 03/11/2020
- Last Update Date: 04/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032549068
- Enrollment ID: I20200415001329
Medical Identifiers
Medical identifiers for Jennifer Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669007597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | PT018511 (Ohio) | Secondary |
| 225100000X | Physical Therapist | PT018511 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rehabilitative Associates Inc | 4880598663 | 10 |
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. Jennifer Lake allows following entities to bill medicare on her behalf.
| Entity Name | Rehabilitative Associates Inc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1770672099
PECOS PAC ID: 4880598663
Enrollment ID: O20031124000058 |
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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. Jennifer 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 |
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Jennifer Lake, DPT, PT
112 Harcourt Rd Ste 1,
Mount Vernon, OH 43050-3944
Ph: () - | Jennifer Lake, DPT, PT
112 Harcourt Rd,
Mount Vernon, OH 43050-3946
Ph: (740) 392-8811 |
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