| Jason T Lake, CRNA | |
|
690 Canton St, Suite 325, Westwood, MA 02090-2321 | |
| (781) 407-7713 | |
| (781) 407-0998 |
| Full Name | Jason T Lake |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 690 Canton St, Westwood, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821048182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 267169 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inland Northwest Anesthesia Pllc | 0648415547 | 5 |
| Entity Name | Anesthesia Associates Of Coeur D Alene Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962440966 PECOS PAC ID: 2365427838 Enrollment ID: O20040621000475 |
| Entity Name | Inland Northwest Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467797449 PECOS PAC ID: 0648415547 Enrollment ID: O20130325000551 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason T Lake, CRNA 690 Canton St, Suite 325, Westwood, MA 02090-2321 Ph: (781) 407-7713 | Jason T Lake, CRNA 690 Canton St, Suite 325, Westwood, MA 02090-2321 Ph: (781) 407-7713 |
Laura Batalis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 690 Canton St, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 | |
Jennifer Lieneck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 690 Canton St, Ste 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998 | |
Judith Gobble, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 690 Canton St, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998 | |
Amy R Bogosian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 690 Canton St, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998 | |
Andrew A Madej, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 690 Canton St, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998 | |
Ellen Davey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 690 Canton St, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998 | |
James D Sprouse, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 690 Canton Street, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998 |