John T Lake, MD | |
60 Doctors Park Lowr Level, Cape Girardeau, MO 63703 | |
(573) 519-4949 | |
(573) 519-4665 |
Full Name | John T Lake |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 30 Years |
Location | 60 Doctors Park Lowr Level, Cape Girardeau, Missouri |
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 |
---|---|---|---|
1629270194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 108382 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Missouri Delta Medical Center | 1355252891 | 74 |
Entity Name | Southeast Missouri Hospital Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
Entity Name | Missouri Delta Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306 |
Mailing Address | Practice Location Address |
---|---|
John T Lake, MD 60 Doctors Park Lowr Level, Cape Girardeau, MO 63703-4928 Ph: (573) 519-4949 | John T Lake, MD 60 Doctors Park Lowr Level, Cape Girardeau, MO 63703 Ph: (573) 519-4949 |
Bradley D. Robison, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 106 Farrar Dr, Suite 109, Cape Girardeau, MO 63701 Phone: 573-334-7055 Fax: 573-334-7961 | |
Dr. Aleksey Aleksandrovich Androsov, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5893 Fax: 573-331-5073 | |
Dr. Reeta Rohatgi, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 402 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-1100 Fax: 573-651-4345 | |
Robert E Gardner, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3250 Gordonville Rd Ste 450, Cape Girardeau, MO 63703 Phone: 573-651-3188 Fax: 573-651-3048 | |
Dr. Abdul B Chaudhari, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1723 Broadway, Suite 210, Cape Girardeau, MO 63701 Phone: 573-331-7840 Fax: 573-331-7849 | |
Steven D Mellies, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3250 Gordonville Rd Ste 206, Cape Girardeau, MO 63703 Phone: 573-651-3188 Fax: 573-651-3048 | |
Richard Daniel Ronca, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5893 Fax: 573-331-3974 |