Dr David Theo Lake, MD in Sumter, SC

Dr David Theo Lake, MD is a medicare enrolled "Hospitalist" physician in Sumter, South Carolina. He went to University Of South Carolina School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Prisma Health Medical Group-midlands and his current practice location is 129 N Washington St, Sumter, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 774-9680.

Dr David Theo Lake is licensed to practice in South Carolina (license number 85514) 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 1154853430.

Contact Information

	Dr David Theo Lake, MD
	129 N Washington St, Sumter, SC 29150-4949
	(803) 774-9680
	(803) 434-3955

Map and Direction

Physician's Profile

Full Name	Dr David Theo Lake
Gender	Male
Speciality	Hospitalist
Experience	7 Years
Location	129 N Washington St, Sumter, South Carolina
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:

Dr David Theo Lake attended and graduated from University Of South Carolina School Of Medicine in 2017

NPI Data:

NPI Number: 1154853430
Provider Enumeration Date: 03/28/2017
Last Update Date: 08/04/2023

Medicare PECOS Information:

PECOS PAC ID: 6204103245
Enrollment ID: I20210805002004

Medical Identifiers

Medical identifiers for Dr David Theo Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154853430	NPI	-	NPPES
855140	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	85514 (South Carolina)	Secondary
208M00000X	Hospitalist	85514 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prisma Health Tuomey	Sumter, SC	Home health agency
Palmetto Health Tuomey Hospice	Sumter, SC	Hospice
Prisma Heath Tuomey Hospital	Sumter, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prisma Health Medical Group-midlands	5991099707	865

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. Dr David Theo Lake allows following entities to bill medicare on his behalf.

Entity Name	Mcleod Regional Medical Center Of The Pee Dee, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154371433 PECOS PAC ID: 7416851852 Enrollment ID: O20031126000251

Entity Name	Prisma Health Medical Group-midlands
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226

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. Dr David Theo 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
Dr David Theo Lake, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603	Dr David Theo Lake, MD 129 N Washington St, Sumter, SC 29150-4949 Ph: (803) 774-9680

Reviews and Comments

Hospitalist Doctors in Sumter, SC

Rima Gandhi, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-9680 Fax: 803-434-3955
Monica S Mccutcheon, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-434-6771
Oliver Pierre Harden, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-1788
Praveen Venigalla, Hospitalist Medicare: Medicare Enrolled Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-434-6771 Fax: 803-434-3955
Dr. Suwarat Wongjittraporn, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-771-1788 Fax: 803-774-9113
Guy R Bibeau, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-778-5248

Dr David Theo Lake, MD - Medicare Hospitalist in Sumter, SC