Zachary Edward Lake, DPT in Cranston, RI - Medicare Physical Therapist Provider

Zachary Edward Lake, DPT is a medicare enrolled "Physical Therapist" provider in Cranston, Rhode Island. His current practice location is 1100 Reservoir Ave, Cranston, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 785-3334.

Zachary Edward Lake is licensed to practice in Rhode Island (license number 03748) 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 1760255236.

Contact Information

	Zachary Edward Lake, DPT
	1100 Reservoir Ave, Cranston, RI 02910-5121
	(401) 785-3334
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Zachary Edward Lake
Gender	Male
Speciality	Physical Therapist
Location	1100 Reservoir Ave, Cranston, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760255236
Provider Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID: 6901253616
Enrollment ID: I20231116002095

Medical Identifiers

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

Identifier	Type	State	Issuer
1760255236	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	03748 (Rhode Island)	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. Zachary Edward Lake allows following entities to bill medicare on his behalf.

Provider Name	Pappas Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1851862692 PECOS PAC ID: 2567708233 Enrollment ID: O20190117000421

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. Zachary Edward 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
Zachary Edward Lake, DPT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: () -	Zachary Edward Lake, DPT 1100 Reservoir Ave, Cranston, RI 02910-5121 Ph: (401) 785-3334

Reviews and Comments

Physical Therapist in Cranston, RI

Robin Lindsey Ness, Physical Therapist Medicare: Medicare Enrolled Practice Location: 721 Reservoir Ave, Cranston, RI 02910 Phone: 401-946-4250 Fax: 401-275-5645
Melany A. Westwell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Reservoir Ave, Cranston, RI 02910 Phone: 401-785-3334 Fax: 401-785-3336
Megan Elizabeth Miller, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 721 Reservoir Ave, Cranston, RI 02910 Phone: 401-946-4250 Fax: 401-275-5645
Francis Santos Purugganan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Western Hills Ln Apt 2402, Cranston, RI 02921 Phone: 401-767-6704
Kayla Prior, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Reservoir Ave, Cranston, RI 02910 Phone: 401-396-9581 Fax: 401-396-9583
Randi J Marten, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 721 Reservoir Ave, Cranston, RI 02910 Phone: 401-946-4250 Fax: 401-275-5645
Mrs. Judith Marie Ricci, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 75 Sockanosset Cross Rd, Suite 110, Cranston, RI 02920 Phone: 401-944-7574 Fax: 401-944-7602

Zachary Edward Lake, DPT - Medicare Physical Therapist in Cranston, RI