Jennifer A Lake, MD | |
4422 White Bear Ave N, White Bear Lake, MN 55110-3475 | |
(651) 287-8780 | |
(651) 287-8786 |
Full Name | Jennifer A Lake |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 23 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245205301 | NPI | - | NPPES |
179001300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 44657 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Intrepid Usa Hospice | Roseville, MN | Hospice |
Healtheast St John's Hospital | Maplewood, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Synergy Family Physicians Pa | 2466631593 | 5 |
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 |
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 |
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 | |
Darien Jourdaine, DO Family Medicine Medicare: Medicare Enrolled 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: Medicare Enrolled 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 | |
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 |