Dr Spencer Truman Lake, MD in Tacoma, WA - Medicare Diagnostic Radiology

Dr Spencer Truman Lake, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Tacoma, Washington. He went to Johns Hopkins University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Tra-minw P S, Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance, Union Avenue Open Mri Llc, Tra-minw P S and his current practice location is 1304 Fawcett Ave Ste 100, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 761-4200.

Dr Spencer Truman Lake is licensed to practice in Washington (license number MD60852353) 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 1316203607.

Contact Information

	Dr Spencer Truman Lake, MD
	1304 Fawcett Ave Ste 100, Tacoma, WA 98402
	(253) 761-4200
	(253) 761-4201

Map and Direction

Physician's Profile

Full Name	Dr Spencer Truman Lake
Gender	Male
Speciality	Diagnostic Radiology
Experience	12 Years
Location	1304 Fawcett Ave Ste 100, Tacoma, Washington
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:

Dr Spencer Truman Lake attended and graduated from Johns Hopkins University School Of Medicine in 2012

NPI Data:

NPI Number: 1316203607
Provider Enumeration Date: 04/11/2012
Last Update Date: 08/30/2024

Medicare PECOS Information:

PECOS PAC ID: 5395994172
Enrollment ID: I20180613001458

Medical Identifiers

Medical identifiers for Dr Spencer Truman Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316203607	NPI	-	NPPES
2101564	Medicaid	WA
0391227	Other	WA	LNI-UAOM
0391226	Other	WA	LNI-TRA KING COUNTY
0391228	Other	WA	LNI-DINW
0391224	Other	WA	LNI-TRA REST OF WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD190332 (Oregon)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD60852353 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tacoma General Allenmore Hospital	Tacoma, WA	Hospital
St Joseph Medical Center	Tacoma, WA	Hospital
Multicare Good Samaritan Hospital	Puyallup, WA	Hospital
St Anthony Hospital	Gig harbor, WA	Hospital
St Francis Community Hospital	Federal way, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tra-minw P S	2163316167	127
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance	3375603970	95
Union Avenue Open Mri Llc	5597652917	32
Tra-minw P S	2163316167	127

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. Dr Spencer Truman Lake allows following entities to bill medicare on his behalf.

Entity Name	Proliance Surgeons Inc Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128

Entity Name	Tra-minw P S
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20040211000326

Entity Name	Union Avenue Open Mri Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568531242 PECOS PAC ID: 5597652917 Enrollment ID: O20040301001189

Entity Name	Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20081126000315

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. Dr Spencer Truman 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
Dr Spencer Truman Lake, MD Po Box 1535, Tacoma, WA 98401-1535 Ph: (253) 761-4200	Dr Spencer Truman Lake, MD 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Ph: (253) 761-4200

Reviews and Comments

Radiology Doctors in Tacoma, WA

Dr. Yuyao Zhang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4201 Fax: 253-761-4201
Mark Ranier Dalisay, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7520 S I St, Tacoma, WA 98408 Phone: 702-305-1889
Dr. Joel Thomas Mcfarland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 Fax: 253-596-3301
Dr. Jana Lynn Fahmy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201
Dr. Scott Randall Henneman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201
Dr. Mark Gerard O'callaghan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300
Peter Alan Ory, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402 Phone: 253-680-3372 Fax: 253-383-3553

Dr Spencer Truman Lake, MD - Medicare Diagnostic Radiology in Tacoma, WA