Dr Douglas R Lake, MD | |
1215 Duff Avenue, Ames, IA 50010-3014 | |
(515) 239-4456 | |
(515) 239-4761 |
Full Name | Dr Douglas R Lake |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 22 Years |
Location | 1215 Duff Avenue, Ames, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194808394 | NPI | - | NPPES |
01626 | Other | BC/BS NE | |
10025186700 | Medicaid | NE | |
10025173600 | Medicaid | NE | |
69958751 | Medicaid | CO | |
1194808394 | Medicaid | IA | |
200145166 | Other | IA | WELLMARK SELECT FIRST |
201477608 | Other | IA | WELLMARK SELECT FIRST |
P00619095 | Other | IA | RR MEDICARE |
P00619099 | Other | NE | RR MEDICARE |
7729430 | Medicaid | SD | |
10025248800 | Medicaid | NE | |
34783 | Other | BC/BS NE |
Facility Name | Location | Facility Type |
---|---|---|
Mary Greeley Medical Center | Ames, IA | Hospital |
Boone County Hospital | Boone, IA | Hospital |
Broadlawns Medical Center | Des moines, IA | Hospital |
Stanford Health Care | Stanford, CA | Hospital |
Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stanford Health Care | 6709797491 | 2572 |
Broadlawns Medical Center | 3678466166 | 207 |
Mcfarland Clinic Pc | 1254244239 | 320 |
Entity Name | Stanford Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas R Lake, MD Po Box 3014, 1215 Duff Avenue, Ames, IA 50010-3014 Ph: (515) 239-4456 | Dr Douglas R Lake, MD 1215 Duff Avenue, Ames, IA 50010-3014 Ph: (515) 239-4456 |
Dr. Nima Ahmad Golchin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1215 Duff Ave, Ames, IA 50010 Phone: 515-239-4456 Fax: 515-239-4761 | |
John George Hardie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 Duff Avenue, Ames, IA 50010 Phone: 515-239-2411 Fax: 515-956-2714 | |
David S. Sosnouski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1215 Duff Avenue, Ames, IA 50010 Phone: 515-239-4456 Fax: 515-239-4761 | |
Dr. Lyman Shane Hopkins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 Duff Ave, Ames, IA 50010 Phone: 515-239-2411 Fax: 515-956-2714 | |
Dr. John Dee Shierholz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1215 Duff Ave, Ames, IA 50010 Phone: 515-239-4456 Fax: 515-239-4761 | |
Dean C. Gute, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Mcfarland Clinkc, Pc, 1215 Duff Ave, Ames, IA 50010 Phone: 515-239-4456 Fax: 515-239-4761 |