Matthew Boaz Lake, MD in Lebanon, NH - Medicare Anesthesiology

Matthew Boaz Lake, MD is a medicare enrolled "Anesthesiology" physician in Lebanon, New Hampshire. He went to West Virginia University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Dogwood Anesthesia Providers Llc and his current practice location is 1 Medical Center Dr, Dhmc Dept. Of Anesthesiology, Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 650-6177.

Matthew Boaz Lake is licensed to practice in New Hampshire (license number 18330) 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 1992192520.

Contact Information

	Matthew Boaz Lake, MD
	1 Medical Center Dr, Dhmc Dept. Of Anesthesiology, Lebanon, NH 03756-1000
	(603) 650-6177
	Not Available

Map and Direction

Physician's Profile

Full Name	Matthew Boaz Lake
Gender	Male
Speciality	Anesthesiology
Experience	9 Years
Location	1 Medical Center Dr, Lebanon, New Hampshire
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:

Matthew Boaz Lake attended and graduated from West Virginia University School Of Medicine in 2015

NPI Data:

NPI Number: 1992192520
Provider Enumeration Date: 04/21/2015
Last Update Date: 10/11/2019

Medicare PECOS Information:

PECOS PAC ID: 2365740545
Enrollment ID: I20200901002379

Medical Identifiers

Medical identifiers for Matthew Boaz Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992192520	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	18330 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cjw Medical Center	Richmond, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dogwood Anesthesia Providers Llc	2769853084	138

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. Matthew Boaz Lake allows following entities to bill medicare on his behalf.

Entity Name	Dogwood Anesthesia Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982329900 PECOS PAC ID: 2769853084 Enrollment ID: O20230125000989

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. Matthew Boaz 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
Matthew Boaz Lake, MD 1 Medical Center Dr, Dhmc Dept. Of Anesthesiology, Lebanon, NH 03756-1000 Ph: () -	Matthew Boaz Lake, MD 1 Medical Center Dr, Dhmc Dept. Of Anesthesiology, Lebanon, NH 03756-1000 Ph: (603) 650-6177

Reviews and Comments

Anesthesiology Doctors in Lebanon, NH

Marbelia C Gonzalez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000
Regina Lee Gritsavage, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Dhmc, Lebanon, NH 03756 Phone: 603-650-5000
Tabitha Antoinette Washington, M.D., B.S. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc Department Of Anesthesiology, Pain Medicine, Lebanon, NH 03756 Phone: 603-650-6040 Fax: 603-650-8199
Dr. Vinca Wing Kar Chow, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Drive, Dartmouth Hitchcock-anesthesiology & Pain Medicine, Lebanon, NH 03756 Phone: 603-650-6177
Dr. Kimberly Youngren, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000
Stacie G Deiner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922
Wenzel D Kovarik, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922

Matthew Boaz Lake, MD - Medicare Anesthesiology in Lebanon, NH