Kenneth B Lake, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fontana, CA

Kenneth B Lake, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fontana, California. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Delta County Memorial Hospital and his current practice location is 9961 Sierra Ave, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (909) 427-3910.

Kenneth B Lake is licensed to practice in California (license number NA3286) 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 1003964024.

Contact Information

Kenneth B Lake, CRNA
9961 Sierra Ave,
Fontana, CA 92335-6720
(909) 427-3910
Not Available

Map and Direction




Provider's Profile

Full NameKenneth B Lake
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience19 Years
Location9961 Sierra Ave, Fontana, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenneth B Lake graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1003964024
  • Provider Enumeration Date: 01/08/2007
  • Last Update Date: 09/15/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6608936752
  • Enrollment ID: I20220613002733

Medical Identifiers

Medical identifiers for Kenneth B Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003964024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered NA3286 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Delta County Memorial HospitalDelta, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Delta County Memorial Hospital185020060160

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. Kenneth B Lake allows following entities to bill medicare on his behalf.
Entity NameDelta County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417935446
PECOS PAC ID: 1850200601
Enrollment ID: O20040113000653

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. Kenneth B 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
Kenneth B Lake, CRNA
9961 Sierra Ave,
Fontana, CA 92335-6720

Ph: (909) 427-3910
Kenneth B Lake, CRNA
9961 Sierra Ave,
Fontana, CA 92335-6720

Ph: (909) 427-3910

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fontana, CA

Kadette Kelly, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-3910    
Ronald D Stephens, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-3910    
Alyssa Wilson,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 000-000-0000    
Brendan Williams, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 15218 Summit Ave Ste 300-130, Fontana, CA 92336
Phone: 909-255-2661    
Hisham Maassarani, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-302-4886    
Edith M Marca-solomon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-3910    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.