Gary Bradley Lake, MD in Tuba City, AZ

Gary Bradley Lake, MD is a Internal Medicine physician based in Tuba City, Arizona. Gary Bradley Lake is licensed to practice in Arizona (license number 29509) and his current practice location is 167 North Main Street, Tuba City, Arizona. He can be reached at his office (for appointments etc.) via phone at (928) 283-2501.

NPI number for Gary Bradley Lake is 1679518708 and his current mailing address is Po Box 600, 167 North Main Street, Tuba City, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679518708.

Contact Information

	Gary Bradley Lake, MD
	167 North Main Street, Tuba City, AZ 86045-0600
	(928) 283-2501
	(928) 283-2677

Map and Direction

Physician's Profile

Full Name	Gary Bradley Lake
Gender	Male
Speciality	Internal Medicine
Location	167 North Main Street, Tuba City, Arizona
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1679518708
Provider Enumeration Date: 06/20/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Gary Bradley Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679518708	NPI	-	NPPES
821702	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	29509 (Arizona)	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. Gary Bradley Lake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gary Bradley Lake, MD Po Box 600, 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501	Gary Bradley Lake, MD 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501

Reviews and Comments

Internal Medicine Doctors in Tuba City, AZ

Dr. Lena Wong, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 167 North Main Streer, Tuba City, AZ 86045 Phone: 928-283-2063
Karen Yin-chieh Jong, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501
Henry John Leonard Van Dyk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Dr. Frank Eckhard Dalichow, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Bernice Q. Ly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Dr. Yuriy Y Vinokur, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501
Benjamin Thomas Gandesbery, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 167 North Main St, Tuba City, AZ 86045 Phone: 866-976-5941

Gary Bradley Lake, MD - Internal Medicine in Tuba City, AZ