Faminda T Lake, FAMINDA in Falls Church, VA - Medicare Certified Registered Nurse Anesthetist (crna)

Faminda T Lake, FAMINDA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Falls Church, Virginia. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Of Virginia, Llc, Stonesprings Anesthesia Associates Ltd and her current practice location is 3300 Gallows Rd, Falls Church, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 776-2632.

Faminda T Lake is licensed to practice in Virginia (license number 0024178894) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1669010518.

Contact Information

	Faminda T Lake, FAMINDA
	3300 Gallows Rd, Falls Church, VA 22042-3307
	(703) 776-2632
	Not Available

Map and Direction

Provider's Profile

Full Name	Faminda T Lake
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	3300 Gallows Rd, Falls Church, Virginia
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Faminda T Lake graduated from nursing school in 2019

NPI Data:

NPI Number: 1669010518
Provider Enumeration Date: 12/11/2019
Last Update Date: 03/12/2020

Medicare PECOS Information:

PECOS PAC ID: 0648601575
Enrollment ID: I20200511000212

Medical Identifiers

Medical identifiers for Faminda T Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669010518	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0001269149 (Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	0024178894 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Inova Fairfax Hospital	Falls church, VA	Hospital
Stonesprings Hospital Center	Dulles, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Of Virginia, Llc	6608268826	349
Stonesprings Anesthesia Associates Ltd	8921300971	25

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. Faminda T Lake allows following entities to bill medicare on her behalf.

Entity Name	American Anesthesiology Of Virginia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20031120000429

Entity Name	Inova Health Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644

Entity Name	Northstar Anesthesia Of Virginia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20220120002585

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. Faminda T 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
Faminda T Lake, FAMINDA 2343 Merseyside Dr, Woodbridge, VA 22191-6568 Ph: (703) 730-9597	Faminda T Lake, FAMINDA 3300 Gallows Rd, Falls Church, VA 22042-3307 Ph: (703) 776-2632

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Falls Church, VA

Ms. Lorraine Kerwin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Fairfax Inova Hospital, Falls Church, VA 22042 Phone: 703-776-3138
Esther Min Park, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3138
Kristin M. Geraghty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3138
Denise Hirsch Tola, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3138
Brandy Louise Flanagan, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001
Jason Cage, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3138
Dr. Kirsten Kadlec-calhoun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001

Faminda T Lake, FAMINDA - Medicare Certified Registered Nurse Anesthetist (crna) in Falls Church, VA