Ahnna Lake, MD is a medicare enrolled "Family Medicine" physician in Morristown, Vermont. She graduated from medical school in 1988 and has 38 years of diverse experience with area of expertise as Family Practice. Her current practice location is
1123 Moran Loop, Morristown, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 253-9369.
Ahnna Lake is licensed to practice in Vermont (license number 42-8468) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1649488107.
Physician's Profile
| Full Name | Ahnna Lake |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 38 Years |
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| Location | 1123 Moran Loop, Morristown, Vermont |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ahnna Lake graduated from medical school in 1988
NPI Data:
- NPI Number: 1649488107
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 01/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 8325574304
- Enrollment ID: I20260625003696
Medical Identifiers
Medical identifiers for Ahnna Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649488107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | MD21340 (Maine) | Secondary |
| 207Q00000X | Family Medicine | 42-8468 (Vermont) | Primary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 42-8468 (Vermont) | Secondary |
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. Ahnna Lake allows following entities to bill medicare on her behalf.
| Entity Name | Brookview Medical Associates PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871965855 PECOS PAC ID: 9537420450 Enrollment ID: O20180309000532 |
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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. Ahnna 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 |
Ahnna Lake, MD Po Box 119, Stowe, VT 05672-0119 Ph: (802) 253-9369 | Ahnna Lake, MD 1123 Moran Loop, Morristown, VT 05661 Ph: (802) 253-9369 |
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