Catherine Dettelbach Lake, FNP-C in Jacksonville, FL

Catherine Dettelbach Lake, FNP-C is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northeast Florida Endocrine And Diabetes Associates Pa and her current practice location is 915 W Monroe St Ste 200, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 384-2240.

Catherine Dettelbach Lake is licensed to practice in Florida (license number APRN11006998) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265039424.

Contact Information

	Catherine Dettelbach Lake, FNP-C
	915 W Monroe St Ste 200, Jacksonville, FL 32204-1177
	(904) 384-2240
	(904) 486-2314

Map and Direction

Provider's Profile

Full Name	Catherine Dettelbach Lake
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	915 W Monroe St Ste 200, Jacksonville, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Catherine Dettelbach Lake graduated from nursing school in 2020

NPI Data:

NPI Number: 1265039424
Provider Enumeration Date: 10/01/2020
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9436564358
Enrollment ID: I20210226000169

Medical Identifiers

Medical identifiers for Catherine Dettelbach Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265039424	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11006998 (Florida)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	APRN11006998 (Florida)	Secondary
363L00000X	Nurse Practitioner	APRN11006998 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Orange Park Medical Center	Orange park, FL	Hospital
Ascension St Vincent's Clay County	Middleburg, FL	Hospital
Baptist Health Medical Center - Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Florida Endocrine And Diabetes Associates Pa	7214823640	67

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. Catherine Dettelbach Lake allows following entities to bill medicare on her behalf.

Entity Name	Northeast Florida Endocrine And Diabetes Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215932520 PECOS PAC ID: 7214823640 Enrollment ID: O20040224000364

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. Catherine Dettelbach 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
Catherine Dettelbach Lake, FNP-C 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 Ph: (904) 384-2240	Catherine Dettelbach Lake, FNP-C 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 Ph: (904) 384-2240

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, FL

Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844
Jennifer Salenga Arguilla, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216 Phone: 904-493-3390 Fax: 904-493-3395
Xenia T Blount, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832
Danielle Harper Key, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080

Catherine Dettelbach Lake, FNP-C - Medicare Nurse Practitioner in Jacksonville, FL