Jennifer A Lake, MD in White Bear Lake, MN

Jennifer A Lake, MD is a medicare enrolled "Family Medicine" physician in White Bear Lake, Minnesota. She went to University Of Minnesota Medical School and graduated in 2001 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Synergy Family Physicians Pa and her current practice location is 4422 White Bear Ave N, White Bear Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 287-8780.

Jennifer A Lake is licensed to practice in Minnesota (license number 44657) 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 1245205301.

Contact Information

	Jennifer A Lake, MD
	4422 White Bear Ave N, White Bear Lake, MN 55110-3475
	(651) 287-8780
	(651) 287-8786

Map and Direction

Physician's Profile

Full Name	Jennifer A Lake
Gender	Female
Speciality	Family Practice
Experience	25 Years
Location	4422 White Bear Ave N, White Bear Lake, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jennifer A Lake attended and graduated from University Of Minnesota Medical School in 2001

NPI Data:

NPI Number: 1245205301
Provider Enumeration Date: 02/22/2006
Last Update Date: 12/08/2015

Medicare PECOS Information:

PECOS PAC ID: 8628052099
Enrollment ID: I20040614001551

Medical Identifiers

Medical identifiers for Jennifer A Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245205301	NPI	-	NPPES
179001300	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	44657 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Healtheast St John's Hospital	Maplewood, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Synergy Family Physicians Pa	2466631593	5

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. Jennifer A Lake allows following entities to bill medicare on her behalf.

Entity Name	Synergy Family Physicians Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548575434 PECOS PAC ID: 2466631593 Enrollment ID: O20110121000476

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. Jennifer A 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
Jennifer A Lake, MD 4422 White Bear Ave N, White Bear Lake, MN 55110-3475 Ph: (651) 287-8780	Jennifer A Lake, MD 4422 White Bear Ave N, White Bear Lake, MN 55110-3475 Ph: (651) 287-8780

Reviews and Comments

Family Medicine Doctors in White Bear Lake, MN

Carol K Stark, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4786 Banning Ave, White Bear Lake, MN 55110 Phone: 651-426-6402 Fax: 651-429-3402
Dr. Anna Margaret Dang, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125
Rachel Bachman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125
Joseph Stephen Micallef, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1430 Hwy 96 E - Mail Stop 32300a, Healthpartners White Bear Lake Clinic, White Bear Lake, MN 55110 Phone: 651-426-1980 Fax: 651-653-2111
Jeffrey D Elbers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4786 Banning Ave, White Bear Lake, MN 55110 Phone: 651-426-6402 Fax: 651-429-3402
Hannah Marie Jenson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125
Dale J Duthoy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4786 Banning Ave, White Bear Lake, MN 55110 Phone: 651-426-6402 Fax: 651-429-3402

Jennifer A Lake, MD - Medicare Family Practice in White Bear Lake, MN