Kayse Lee Lake, DPM in Durango, CO - Medicare Podiatry Provider

Kayse Lee Lake, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Durango, Colorado. He went to Kent State University College Of Podiatric Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Four Corners Foot And Ankle Pc, Four Corners Foot And Ankle Pc and his current practice location is 1266 Escalante Dr, Suite 201, Durango, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 253-5303.

Kayse Lee Lake is licensed to practice in Colorado (license number 710) 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 1366686800.

Contact Information

	Kayse Lee Lake, DPM
	1266 Escalante Dr, Suite 201, Durango, CO 81303
	(970) 253-5303
	(970) 259-3510

Map and Direction

Healthcare Provider's Profile

Full Name	Kayse Lee Lake
Gender	Male
Speciality	Podiatry
Experience	16 Years
Location	1266 Escalante Dr, Durango, Colorado
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:

Kayse Lee Lake attended and graduated from Kent State University College Of Podiatric Medicine in 2008

NPI Data:

NPI Number: 1366686800
Provider Enumeration Date: 04/28/2009
Last Update Date: 09/10/2021

Medicare PECOS Information:

PECOS PAC ID: 0941473243
Enrollment ID: I20130709000055

Medical Identifiers

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

Identifier	Type	State	Issuer
1366686800	NPI	-	NPPES
07501552	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	348 (New Mexico)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	36.003558 (Ohio)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	5063880-0501 (Utah)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	710 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Animas Surgical Hospital, Llc	Durango, CO	Hospital
San Juan Regional Medical Center	Farmington, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Four Corners Foot And Ankle Pc	9931349347	4
Four Corners Foot And Ankle Pc	9931349347	4

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. Kayse Lee Lake allows following entities to bill medicare on his behalf.

Provider Name	Four Corners Foot And Ankle Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1629416342 PECOS PAC ID: 9931349347 Enrollment ID: O20130709000025

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. Kayse Lee 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
Kayse Lee Lake, DPM 1266 Escalante Dr, Suite 201, Durango, CO 81303 Ph: (970) 259-5303	Kayse Lee Lake, DPM 1266 Escalante Dr, Suite 201, Durango, CO 81303 Ph: (970) 253-5303

Reviews and Comments

Podiatrist in Durango, CO

Innovation Medical Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 270 E 8th Ave Ste N102, Durango, CO 81301 Phone: 970-903-9853 Fax: 970-616-6745
Dr. Justin L Curtis, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1266 Escalante Dr, Suite 201, Durango, CO 81303 Phone: 970-259-5303 Fax: 970-259-3510
Jordan Womack, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 270 E 8th Ave, Suite N102, Durango, CO 81301 Phone: 970-903-9853 Fax: 970-616-6745
Dr. Ashley Irene Vanderloop, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 575 Rivergate Unit 105, Durango, CO 81301 Phone: 970-259-3154 Fax: 970-828-1666
Daniel Stilwell, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1 Mercado St Ste 202, Durango, CO 81301 Phone: 970-764-9400 Fax: 970-764-9449
John Carlyle Miller, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1266 Escalante Dr Ste 201, Durango, CO 81303 Phone: 970-259-5303 Fax: 970-259-3510

Kayse Lee Lake, DPM - Medicare Podiatrist in Durango, CO