Andrew Lake, in Portland, OR - Medicare Physical Therapist Provider

Andrew Lake, is a medicare enrolled "Physical Therapist" provider in Portland, Oregon. His current practice location is 16083 Sw Upper Boones Ferry Rd Ste 320, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 443-6156.

Andrew Lake is licensed to practice in * (Not Available) (license number ) 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 1093443145.

Contact Information

	Andrew Lake,
	16083 Sw Upper Boones Ferry Rd Ste 320, Portland, OR 97224-7736
	(503) 443-6156
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew Lake
Gender	Male
Speciality	Physical Therapist
Location	16083 Sw Upper Boones Ferry Rd Ste 320, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093443145
Provider Enumeration Date: 08/08/2022
Last Update Date: 08/08/2022

Medicare PECOS Information:

PECOS PAC ID: 6002287489
Enrollment ID: I20230123000586

Medical Identifiers

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

Identifier	Type	State	Issuer
1093443145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Andrew Lake allows following entities to bill medicare on his behalf.

Provider Name	Therapeutic Associates Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972589364 PECOS PAC ID: 0042116279 Enrollment ID: O20040205000432

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. Andrew 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
Andrew Lake, 16083 Sw Upper Boones Ferry Rd Ste 300, Portland, OR 97224-7736 Ph: (503) 443-6156	Andrew Lake, 16083 Sw Upper Boones Ferry Rd Ste 320, Portland, OR 97224-7736 Ph: (503) 443-6156

Reviews and Comments

Physical Therapist in Portland, OR

Jonathan Rex Gustavson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3426 Ne 62nd Ave, Portland, OR 97213 Phone: 503-312-3443
Ms. Ruth A Hurst, P.T., G.C.F.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7721 Sw 34th Ave, Portland, OR 97219 Phone: 503-452-7767
Ms. Molly Anne Bredenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Portland, OR 97213 Phone: 503-215-0424
David Genco Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Ne Russet St, Portland, OR 97211 Phone: 503-289-5571
Jenna Valentine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9204 Se Mitchell St, Portland, OR 97266 Phone: 503-777-6746
Ariel Witkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Nw 18th Ave Ste 400, Portland, OR 97209 Phone: 503-228-1306 Fax: 503-228-1307
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500

Andrew Lake, - Medicare Physical Therapist in Portland, OR