Jennifer Lake, DPT, PT is a medicare enrolled "Physical Therapist" physician in Mount Vernon, Ohio. 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 | |
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Experience | 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. |
Medical Education and Training:
- Jennifer Lake attended and graduated from in
NPI Data:
- NPI Number: 1669007597
- Provider Enumeration Date: 03/11/2020
- Last Update Date: 04/08/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jennifer Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669007597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | PT018511 (Ohio) | Secondary |
225100000X | Physical Therapist | PT018511 (Ohio) | 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. 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 |
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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