Carissa A Webster-lake, MD - Medicare Vascular Surgery in West Hartford, CT

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Carissa A Webster-lake, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in West Hartford, Connecticut. She went to Boston University School Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Vascular Surgery. She is a member of the group practice Trinity Health Of New England Provider Network Organization Inc, Nuvance Health Medical Practice Ct Inc, Riverbend Medical Group Inc and her current practice location is 2550 Albany Ave # 1056, West Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (617) 869-0135.

Carissa A Webster-lake is licensed to practice in Tennessee (license number 59921) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134448269.

Contact Information

Carissa A Webster-lake, MD
2550 Albany Ave # 1056,
West Hartford, CT 06117-2335
(617) 869-0135
Not Available

Map and Direction




Physician's Profile

Full NameCarissa A Webster-lake
GenderFemale
SpecialityVascular Surgery
Experience15 Years
Location2550 Albany Ave # 1056, West Hartford, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carissa A Webster-lake attended and graduated from Boston University School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1134448269
  • Provider Enumeration Date: 05/28/2010
  • Last Update Date: 08/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9830467935
  • Enrollment ID: I20170614000363

Medical Identifiers

Medical identifiers for Carissa A Webster-lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134448269NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 54698 (Connecticut)Secondary
2086S0129XSurgery - Vascular Surgery 54698 (Connecticut)Secondary
2086S0129XSurgery - Vascular Surgery 0101279557 (Virginia)Secondary
2086S0129XSurgery - Vascular Surgery 59921 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Danbury HospitalDanbury, CTHospital
St Francis Hospital & Medical CenterHartford, CTHospital
Beebe Medical CenterLewes, DEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Trinity Health Of New England Provider Network Organization Inc0941113567613
Nuvance Health Medical Practice Ct Inc4789597691694
Riverbend Medical Group Inc5698064343207

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. Carissa A Webster-lake allows following entities to bill medicare on her behalf.
Entity NameTrinity Health Of New England Provider Network Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003882812
PECOS PAC ID: 0941113567
Enrollment ID: O20031110000651
Entity NameBristol Hospital Multi-specialty Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649265679
PECOS PAC ID: 9032014758
Enrollment ID: O20031204000960
Entity NameNuvance Health Medical Practice Ct Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407898117
PECOS PAC ID: 4789597691
Enrollment ID: O20031205000130
Entity NameHartford Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043561301
PECOS PAC ID: 1153573902
Enrollment ID: O20121201000007
Entity NameHartford Healthcare Medical Group Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023584216
PECOS PAC ID: 3173866241
Enrollment ID: O20190514001441

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. Carissa A Webster-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 AddressPractice Location Address
Carissa A Webster-lake, MD
2550 Albany Ave # 1056,
West Hartford, CT 06117-2335

Ph: () -		Carissa A Webster-lake, MD
2550 Albany Ave # 1056,
West Hartford, CT 06117-2335

Ph: (617) 869-0135

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.