Mark Adrian Lake, MD in Lafayette, IN

Mark Adrian Lake, MD is a medicare enrolled "Dermatology" physician in Lafayette, Indiana. He went to Wright State University Boonshoft School Of Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Dermatology. His current practice location is 15 Executive Dr, Suite 4, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 838-3428.

Mark Adrian Lake is licensed to practice in Indiana (license number 01055166) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104848423.

Contact Information

	Mark Adrian Lake, MD
	15 Executive Dr, Suite 4, Lafayette, IN 47905-3833
	(765) 838-3428
	(765) 838-3440

Map and Direction

Physician's Profile

Full Name	Mark Adrian Lake
Gender	Male
Speciality	Dermatology
Experience	29 Years
Location	15 Executive Dr, Lafayette, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark Adrian Lake attended and graduated from Wright State University Boonshoft School Of Medicine in 1996

NPI Data:

NPI Number: 1104848423
Provider Enumeration Date: 07/24/2006
Last Update Date: 07/23/2019

Medicare PECOS Information:

PECOS PAC ID: 2365425857
Enrollment ID: I20040607001474

Medical Identifiers

Medical identifiers for Mark Adrian Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104848423	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	01055166 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health Arnett Hospital	Lafayette, IN	Hospital

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. Mark Adrian Lake allows following entities to bill medicare on his behalf.

Entity Name	Lake Dermatology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689898447 PECOS PAC ID: 7911092671 Enrollment ID: O20070926001128

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. Mark Adrian 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
Mark Adrian Lake, MD 15 Executive Dr, Suite 4, Lafayette, IN 47905-3833 Ph: (765) 838-3428	Mark Adrian Lake, MD 15 Executive Dr, Suite 4, Lafayette, IN 47905-3833 Ph: (765) 838-3428

Reviews and Comments

Dermatology Doctors in Lafayette, IN

Gary P Dillon, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1500 Salem St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7029
Raymond Kuwahara, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1500 Salem St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8335
Patricia M Dymek, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000
Lori Siegert Swan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2020 Union St, Suite 300, Lafayette, IN 47904 Phone: 765-446-0282 Fax: 765-446-8299
Kacie Hoffman, PA-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8100
Tamzin A Rosenwasser, Dermatology Medicare: Medicare Enrolled Practice Location: 1500 Salem St, Lafayette, IN 47904 Phone: 765-448-8000

Mark Adrian Lake, MD - Medicare Dermatology in Lafayette, IN