Dorothy Nicole Lake, CPNP - Medicare Nurse Practitioner in Carrollton, GA

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Dorothy Nicole Lake, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Carrollton, Georgia. Her current practice location is 1561 S Highway 27, Unit B6 & B7, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 366-3636.

Dorothy Nicole Lake is licensed to practice in Georgia (license number RN213402NP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528438538.

Contact Information

Dorothy Nicole Lake, CPNP
1561 S Highway 27, Unit B6 & B7,
Carrollton, GA 30117-8927
(404) 366-3636
(404) 362-0808

Map and Direction




Provider's Profile

Full NameDorothy Nicole Lake
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1561 S Highway 27, Carrollton, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528438538
  • Provider Enumeration Date: 10/02/2015
  • Last Update Date: 10/02/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1052690385
  • Enrollment ID: I20161109001734

Medical Identifiers

Medical identifiers for Dorothy Nicole Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528438538NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics RN213402NP (Georgia)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. Dorothy Nicole Lake allows following entities to bill medicare on her behalf.
Entity NameEmergency Coverage Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050411000056
Entity Name316 Family Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861915647
PECOS PAC ID: 6709159437
Enrollment ID: O20170831002113

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. Dorothy Nicole 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
Dorothy Nicole Lake, CPNP
4905 Courtney Dr,
Forest Park, GA 30297-1427

Ph: (404) 366-3636		Dorothy Nicole Lake, CPNP
1561 S Highway 27, Unit B6 & B7,
Carrollton, GA 30117-8927

Ph: (404) 366-3636

Reviews and Comments


Nurse Practitioner Nurses in Carrollton, GA

Sheila Reece Walls,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4248 Mount Zion Rd, Carrollton, GA 30117
Phone: 770-836-0103    Fax: 770-834-8828
Latoya Pulliam Bexley, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 410 Dixie St, Carrollton, GA 30117
Phone: 678-796-0681    Fax: 770-836-8477
Emilia Grace Janney, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 527 Tanner St, Carrollton, GA 30117
Phone: 770-537-1234    Fax: 770-537-1237
Mr. Matthew Henderson, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117
Phone: 770-834-0873    
Ronda S Phillips, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 705 Dixie St, Suite 401, Carrollton, GA 30117
Phone: 770-838-8824    Fax: 770-838-8922
Amy Hicks,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 104 Rome St, Carrollton, GA 30117
Phone: 404-301-4042    
Stephanie Jones, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 706 Dixie St Ste 200, Carrollton, GA 30117
Phone: 770-214-2121    

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).

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