Mr Lawrence Leland Lake, CRNP in Birmingham, AL

Mr Lawrence Leland Lake, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Birmingham, Alabama. His current practice location is 701 Princeton Ave Sw, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 783-3500.

Mr Lawrence Leland Lake is licensed to practice in Alabama (license number 1-127139) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811542269.

Contact Information

	Mr Lawrence Leland Lake, CRNP
	701 Princeton Ave Sw, Birmingham, AL 35211-1303
	(205) 783-3500
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Lawrence Leland Lake
Gender	Male
Speciality	Nurse Practitioner - Family
Location	701 Princeton Ave Sw, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811542269
Provider Enumeration Date: 08/02/2019
Last Update Date: 02/16/2024

Medicare PECOS Information:

PECOS PAC ID: 7618209594
Enrollment ID: I20191025000690

Medical Identifiers

Medical identifiers for Mr Lawrence Leland Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811542269	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WE0003X	Registered Nurse - Emergency	1-127139 (Alabama)	Secondary
363LF0000X	Nurse Practitioner - Family	1-127139 (Alabama)	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. Mr Lawrence Leland Lake allows following entities to bill medicare on his behalf.

Entity Name	Paragon Contracting Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756

Entity Name	Alteon Health Alabama, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477708857 PECOS PAC ID: 5698830552 Enrollment ID: O20090210000557

Entity Name	Orthosports 1st, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730701673 PECOS PAC ID: 8729402037 Enrollment ID: O20200720003475

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. Mr Lawrence Leland 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
Mr Lawrence Leland Lake, CRNP 830 Moonlite Dr, Odenville, AL 35120-5463 Ph: (205) 441-1483	Mr Lawrence Leland Lake, CRNP 701 Princeton Ave Sw, Birmingham, AL 35211-1303 Ph: (205) 783-3500

Reviews and Comments

Nurse Practitioner Nurses in Birmingham, AL

Mrs. April Hooper Weatherly, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-939-9175
Miss Leigh Anne Wenzel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Saint Vincents Dr, Suite500, Birmingham, AL 35205 Phone: 205-933-8334 Fax: 205-271-5681
Ms. Carly Rae Hawkins, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-9285 Fax: 205-975-1941
Ashlee Brooke Quick, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3729 Mary Taylor Rd, Birmingham, AL 35235 Phone: 205-856-4440 Fax: 205-856-4445
Anyet Belyeu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 11th Ave S, Birmingham, AL 35205 Phone: 205-930-7155 Fax: 205-930-7061
Amy Urban, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Lowder Bldg., Suite 618, Birmingham, AL 35233 Phone: 205-638-9918
Jessica Cha, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816

Mr Lawrence Leland Lake, CRNP - Medicare Nurse Practitioner in Birmingham, AL