Alvin E Lake, PHD in Ann Arbor, MI - Medicare Clinical Psychologist Provider

Alvin E Lake, PHD is a medicare enrolled "Psychologist" provider in Ann Arbor, Michigan. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Michigan Headache And Neurological Institute Pc and his current practice location is 3120 Professional Dr, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 677-6000.

Alvin E Lake is licensed to practice in Michigan (license number 6301002665) 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 1356434443.

Contact Information

	Alvin E Lake, PHD
	3120 Professional Dr, Ann Arbor, MI 48104-5131
	(734) 677-6000
	(734) 677-2422

Map and Direction

Healthcare Provider's Profile

Full Name	Alvin E Lake
Gender	Male
Speciality	Clinical Psychologist
Experience	46 Years
Location	3120 Professional Dr, Ann Arbor, Michigan
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:

Alvin E Lake graduated from medical school in 1978

NPI Data:

NPI Number: 1356434443
Provider Enumeration Date: 10/02/2006
Last Update Date: 09/08/2008

Medicare PECOS Information:

PECOS PAC ID: 2062512445
Enrollment ID: I20070713000758

Medical Identifiers

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

Identifier	Type	State	Issuer
1356434443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301002665 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Michigan Headache And Neurological Institute Pc	5597661975	7

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. Alvin E Lake allows following entities to bill medicare on his behalf.

Entity Name	Michigan Headache & Neurological Institute Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376638528 PECOS PAC ID: 5597661975 Enrollment ID: O20031211000501

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. Alvin E 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
Alvin E Lake, PHD 3120 Professional Dr, Ann Arbor, MI 48104-5131 Ph: (734) 677-6000	Alvin E Lake, PHD 3120 Professional Dr, Ann Arbor, MI 48104-5131 Ph: (734) 677-6000

Reviews and Comments

Psychologist in Ann Arbor, MI

Mr. Michael Eugene Wallace, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 201 E Liberty St, Suite 2, Ann Arbor, MI 48104 Phone: 734-330-3580
David R Manwiller, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1310 S Main St, Ann Arbor, MI 48104 Phone: 734-716-7049
Karen Gottschalk, MALLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2350 Washtenaw Ave, Ste 7e, Ann Arbor, MI 48104 Phone: 734-332-9184
Junichi Shimaoka, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1316 Packard St Apt 2, Ann Arbor, MI 48104 Phone: 408-475-8739 Fax: 734-763-0454
Dr. Amy Paggeot, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5340 Plymouth Rd, Suite #210, Ann Arbor, MI 48105 Phone: 734-462-3210
Dr. Lara N Coughlin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 4250 Plymouth Rd, Ann Arbor, MI 48109 Phone: 734-764-6443
James B Franklin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 555 E William St, Ann Arbor, MI 48104 Phone: 248-413-7283

Alvin E Lake, PHD - Medicare Psychologist in Ann Arbor, MI