Mary Alma Lake, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Topsham, Maine. She graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice East Grand Health Center Inc and her current practice location is
1 Wellness Way, Suite B, Topsham, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 406-7667.
Mary Alma Lake is licensed to practice in Maine (license number R019912) 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 1578671871.
Physician's Profile
| Full Name | Mary Alma Lake |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 25 Years |
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| Location | 1 Wellness Way, Topsham, Maine |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mary Alma Lake graduated from medical school in 2000
NPI Data:
- NPI Number: 1578671871
- Provider Enumeration Date: 08/27/2006
- Last Update Date: 02/11/2016
Medicare PECOS Information:
- PECOS PAC ID: 1850305467
- Enrollment ID: I20060203000091
Medical Identifiers
Medical identifiers for Mary Alma Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578671871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | R019912 (Maine) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R019912 (Maine) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| East Grand Health Center Inc | 4284642950 | 7 |
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. Mary Alma Lake allows following entities to bill medicare on her behalf.
| Entity Name | Mid Coast Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932164795
PECOS PAC ID: 5496739468
Enrollment ID: O20040623001212 |
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| Entity Name | East Grand Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467489666
PECOS PAC ID: 4284642950
Enrollment ID: O20060323000065 |
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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. Mary Alma 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 |
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Mary Alma Lake, FNP
1 Wellness Way, Suite B,
Topsham, ME 04086-1768
Ph: (207) 406-7667 | Mary Alma Lake, FNP
1 Wellness Way, Suite B,
Topsham, ME 04086-1768
Ph: (207) 406-7667 |
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