John Richard Lake, MD - Medicare Gastroenterology in Minneapolis, MN

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John Richard Lake, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Minneapolis, Minnesota. He went to University Of Minnesota Medical School and graduated in 1979 and has 46 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice The Duluth Clinic Ltd, Fairview Express Care and his current practice location is University Of Minnesota Physicians, 516 Delaware Street Se, Clinic 2a, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 626-6100.

John Richard Lake is licensed to practice in Minnesota (license number 40739) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740360619.

Contact Information

John Richard Lake, MD
University Of Minnesota Physicians, 516 Delaware Street Se, Clinic 2a,
Minneapolis, MN 55454-1478
(612) 626-6100
Not Available

Map and Direction




Physician's Profile

Full NameJohn Richard Lake
GenderMale
SpecialityGastroenterology
Experience46 Years
LocationUniversity Of Minnesota Physicians, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John Richard Lake attended and graduated from University Of Minnesota Medical School in 1979
  NPI Data:
  • NPI Number: 1740360619
  • Provider Enumeration Date: 10/16/2006
  • Last Update Date: 10/26/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8224005285
  • Enrollment ID: I20040910000652

Medical Identifiers

Medical identifiers for John Richard Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740360619NPI-NPPES
124409OtherMNUCARE
29-00011OtherMNMEDICA-PRIMARY
784417OtherARAZ
0506741MedicaidIA
114843OtherMNFAIRVIEW
03G121LAOtherMNBCBS
1017135OtherMNPREFERRED ONE
480019200MedicaidMN
HP28838OtherMNHEALTH PARTNERS
32420100MedicaidWI
2900020OtherMNMEDICA-CHOICE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 40739 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital
Essentia Health DuluthDuluth, MNHospital
Fairview Ridges HospitalBurnsville, MNHospital
Healtheast St John's HospitalMaplewood, MNHospital
St Croix Regional Medical CtrSaint croix falls, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Duluth Clinic Ltd2567374283957
Fairview Express Care33756451791733

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. John Richard Lake allows following entities to bill medicare on his behalf.
Entity NameThe Duluth Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229
Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameHealtheast Woodwinds Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356309322
PECOS PAC ID: 9638082563
Enrollment ID: O20031107000110
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameHealtheast St John's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447218482
PECOS PAC ID: 9234035742
Enrollment ID: O20031208000320
Entity NameFairview Bethesda Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194787465
PECOS PAC ID: 7214833763
Enrollment ID: O20031208000483
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

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. John Richard 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 AddressPractice Location Address
John Richard Lake, MD
University Of Minnesota Physicians, 420 Delaware St Se, Mmc 36,
Minneapolis, MN 55455

Ph: (612) 626-6100		John Richard Lake, MD
University Of Minnesota Physicians, 516 Delaware Street Se, Clinic 2a,
Minneapolis, MN 55454-1478

Ph: (612) 626-6100

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.