Cody Garrett Lake, DPT in Mustang, OK - Medicare Physical Therapy Provider

Cody Garrett Lake, DPT is a medicare enrolled "Physical Therapist" provider in Mustang, Oklahoma. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ptms 3.0 Llc and his current practice location is 433 E State Highway 152, Mustang, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 353-2159.

Cody Garrett Lake is licensed to practice in * (Not Available) (license number ) 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 1841897253.

Contact Information

	Cody Garrett Lake, DPT
	433 E State Highway 152, Mustang, OK 73064-4519
	(405) 353-2159
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cody Garrett Lake
Gender	Male
Speciality	Physical Therapy
Experience	4 Years
Location	433 E State Highway 152, Mustang, Oklahoma
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cody Garrett Lake graduated from medical school in 2020

NPI Data:

NPI Number: 1841897253
Provider Enumeration Date: 10/08/2020
Last Update Date: 11/17/2020

Medicare PECOS Information:

PECOS PAC ID: 0345660395
Enrollment ID: I20201014000365

Medical Identifiers

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

Identifier	Type	State	Issuer
1841897253	NPI	-	NPPES
5896	Other	OK	PT LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ptms 3.0 Llc	2365768231	91

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. Cody Garrett Lake allows following entities to bill medicare on his behalf.

Provider Name	Precision Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1578675070 PECOS PAC ID: 4183634561 Enrollment ID: O20060428000610

Provider Name	Ptms 3.0 Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1942690375 PECOS PAC ID: 2365768231 Enrollment ID: O20150312000445

Provider Name	Oklahoma Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1306572508 PECOS PAC ID: 4688057680 Enrollment ID: O20220823002918

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. Cody Garrett 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
Cody Garrett Lake, DPT 440 Merchant Dr, Norman, OK 73069-6470 Ph: (405) 809-8713	Cody Garrett Lake, DPT 433 E State Highway 152, Mustang, OK 73064-4519 Ph: (405) 353-2159

Reviews and Comments

Physical Therapist in Mustang, OK

Matthew Goecke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 153 E State Highway 152, Mustang, OK 73064 Phone: 405-376-3535 Fax: 580-376-3583
Valir Outpatient Clinic #10 Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 153 E State Highway 152, Mustang, OK 73064 Phone: 405-376-3535 Fax: 405-376-3583
H2 Health Physical Therapist Medicare: Medicare Enrolled Practice Location: 1337 E State Highway 152, Suite 111, Mustang, OK 73064 Phone: 405-888-5434 Fax: 405-888-5451
Dr. Phillicia L Hawkins, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1337 E State Highway 152, Suite 111, Mustang, OK 73064 Phone: 405-745-4786 Fax: 405-745-4837
Mr. Travis Lee Calton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 153 E Sh 152, Mustang, OK 73064 Phone: 405-376-3535 Fax: 405-376-3583

Cody Garrett Lake, DPT - Medicare Physical Therapist in Mustang, OK