Jeremy M Lake, MD | |
232 Se 7th Ave, Hillsboro, OR 97123 | |
(503) 640-1614 | |
(503) 681-0925 |
Full Name | Jeremy M Lake |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 25 Years |
Location | 232 Se 7th Ave, Hillsboro, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114909371 | NPI | - | NPPES |
183065 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | MD24736 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tuality Community Hospital | Hillsboro, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tuality Medical Group Llc | 7416173414 | 239 |
Entity Name | Jeremy M. Lake, Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881878650 PECOS PAC ID: 7810927563 Enrollment ID: O20050812000882 |
Entity Name | Tuality Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073929782 PECOS PAC ID: 7416173414 Enrollment ID: O20140729000238 |
Mailing Address | Practice Location Address |
---|---|
Jeremy M Lake, MD 232 Se 7th Ave, Hillsboro, OR 97123 Ph: (503) 640-1614 | Jeremy M Lake, MD 232 Se 7th Ave, Hillsboro, OR 97123 Ph: (503) 640-1614 |
Raeesa Khalid, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 335 Se 8th Ave, Hillsboro, OR 97123 Phone: 503-681-1050 Fax: 503-681-1939 | |
Kishoree Jayant Patel, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 19400 Evergreeen Pwy, Hillsboro, OR 97124 Phone: 503-645-2762 | |
Marsha D Ware, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 18610 Nw Cornell Rd, Suite 101, Hillsboro, OR 97124 Phone: 503-216-9360 | |
Mustaquim Faruq Chowdhury, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 364 Se 8th Ave Ste 301, Hillsboro, OR 97123 Phone: 503-681-4233 Fax: 503-681-4234 | |
Scot T Smith, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 335 Se 8th Ave, Hillsboro, OR 97123 Phone: 503-681-1111 | |
Nancy Heather Vinikoor, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 17770 Sw Neugebauer Rd, Hillsboro, OR 97123 Phone: 503-628-9120 | |
Meenakshi Narasimhamurthy, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 730 Se Oak St Ste I, Hillsboro, OR 97123 Phone: 503-430-0497 Fax: 503-747-5985 |