Dr Leanne Lake, MD is a medicare enrolled "Family Medicine" physician in Milroy, Indiana. Her current practice location is
7695 S 175 W, Milroy, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 629-2224.
Dr Leanne Lake is licensed to practice in Indiana (license number 01036535) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184790966.
Physician's Profile
| Full Name | Dr Leanne Lake |
|---|
| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 7695 S 175 W, Milroy, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184790966
- Provider Enumeration Date: 11/26/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3870772791
- Enrollment ID: I20110125000463
Medical Identifiers
Medical identifiers for Dr Leanne Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1184790966 | NPI | - | NPPES |
| 000000088990 | Other | IN | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 01036535 (Indiana) | Primary |
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 Leanne 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 Leanne Lake, MD 7695 S 175 W, P. O. Box 398, Milroy, IN 46156-9668 Ph: (765) 629-2224 | Dr Leanne Lake, MD 7695 S 175 W, Milroy, IN 46156-9668 Ph: (765) 629-2224 |
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