Joseph Robert Lake, MD - Medicare Emergency Medicine in Jackson, MS

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Joseph Robert Lake, MD is a medicare enrolled "Emergency Medicine" physician in Jackson, Mississippi. His current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 815-8010.

Joseph Robert Lake is licensed to practice in Mississippi (license number 31395) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538797626.

Contact Information

Joseph Robert Lake, MD
2500 N State St,
Jackson, MS 39216-4500
(601) 815-8010
Not Available

Map and Direction




Physician's Profile

Full NameJoseph Robert Lake
GenderMale
SpecialityEmergency Medicine
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538797626
  • Provider Enumeration Date: 04/01/2020
  • Last Update Date: 09/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800251125
  • Enrollment ID: I20230501001870

Medical Identifiers

Medical identifiers for Joseph Robert Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538797626NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 31395 (Mississippi)Primary

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. Joseph Robert Lake allows following entities to bill medicare on his behalf.
Entity NameSouth Sunflower County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184679292
PECOS PAC ID: 6709771637
Enrollment ID: O20040218000979
Entity NameKings Daughters Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043245368
PECOS PAC ID: 3072575539
Enrollment ID: O20041028000174
Entity NameCorrect Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215987441
PECOS PAC ID: 8628980992
Enrollment ID: O20131122000662

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. Joseph Robert 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 AddressPractice Location Address
Joseph Robert Lake, MD
504 Clinton Center Drive, Cbo Suite 4300,
Clinton, MS 39056

Ph: (601) 815-2005		Joseph Robert Lake, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 815-8010

Reviews and Comments


Emergency Medicine Doctors in Jackson, MS

Laura Elizabeth Vearrier, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-815-2005    
Dr. Melanie Fox, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Mohsin Saber, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 250 N State St, Department Of Emergency Medicine, Jackson, MS 39201
Phone: 601-984-5582    Fax: 601-984-5583
Dr. Gabriel William Tonkin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N. State St., Dept. Of Emergency Medicine, Jackson, MS 39216
Phone: 601-984-5582    
John C Brooks, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1225 N State St, Jackson, MS 39202
Phone: 601-982-6001    Fax: 601-982-8616
Bob Hutchins,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3502 W Northside Dr, Jackson, MS 39213
Phone: 601-362-5321    Fax: 601-364-2600
Lana Ngoc Phan, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1850 Chadwick Dr, Jackson, MS 39204
Phone: 601-376-1000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.