Dr Dianah Thelma Lake, MD - Medicare Emergency Medicine in Bronx, NY

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Dr Dianah Thelma Lake, MD is a medicare enrolled "Emergency Medicine" physician in Bronx, New York. She graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Davis Memorial Hospital and her current practice location is 1400 Pelham Pkwy S, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 918-5820.

Dr Dianah Thelma Lake is licensed to practice in New Jersey (license number 25MA08177800) 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 1003952375.

Contact Information

Dr Dianah Thelma Lake, MD
1400 Pelham Pkwy S,
Bronx, NY 10461-1138
(718) 918-5820
Not Available

Map and Direction




Physician's Profile

Full NameDr Dianah Thelma Lake
GenderFemale
SpecialityEmergency Medicine
Experience22 Years
Location1400 Pelham Pkwy S, Bronx, New York
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:
  • Dr Dianah Thelma Lake graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1003952375
  • Provider Enumeration Date: 01/30/2007
  • Last Update Date: 05/04/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7315045598
  • Enrollment ID: I20180312002568

Medical Identifiers

Medical identifiers for Dr Dianah Thelma Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003952375NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 25MA08177800 (New Jersey)Primary
207P00000XEmergency Medicine MD21481 (Maine)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Davis Medical CenterElkins, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Davis Memorial Hospital307241854069

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 Dianah Thelma Lake allows following entities to bill medicare on her behalf.
Entity NameDavis Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619964806
PECOS PAC ID: 3072418540
Enrollment ID: O20040107000438
Entity NameBeckley Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376757674
PECOS PAC ID: 0547353062
Enrollment ID: O20070829000541
Entity NameWest Virginia Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952776379
PECOS PAC ID: 7618270323
Enrollment ID: O20160128002708

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 Dianah Thelma 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
Dr Dianah Thelma Lake, MD
8 Leo Ter,
Bloomfield, NJ 07003-4414

Ph: (917) 334-2381		Dr Dianah Thelma Lake, MD
1400 Pelham Pkwy S,
Bronx, NY 10461-1138

Ph: (718) 918-5820

Reviews and Comments


Emergency Medicine Doctors in Bronx, NY

Dr. Thomas Henry Parry, M.D.
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Dr. Sarah G Jamison, MD
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May Yee Helman, M.D.
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Dr. John Ellis, D.O.
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Dr. Angelica Rosa Angiulli, MD
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Practice Location: 1825 Eastchester Rd, Bronx, NY 10461
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Dr. Patrick Spencer Eiben, M.D.
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Practice Location: 1400 Pelham Pkwy S, Building 6//suite B125, Bronx, NY 10461
Phone: 718-918-5820    
Nai Li, D.O.
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Medicare: Medicare Enrolled
Practice Location: 4422 3rd Ave, Bronx, NY 10457
Phone: 718-960-9000    

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.