Kenneth B Lake, CRNA in Delta, CO - Medicare Certified Registered Nurse Anesthetist (crna)

Kenneth B Lake, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Delta, Colorado. He graduated from nursing school in 2005 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Delta County Memorial Hospital and his current practice location is 1501 E 3rd St, Delta, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 874-7681.

Kenneth B Lake is licensed to practice in Colorado (license number APN.0997653-CRNA) 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 1003964024.

Contact Information

	Kenneth B Lake, CRNA
	1501 E 3rd St, Delta, CO 81416-2815
	(970) 874-7681
	Not Available

Map and Direction

Provider's Profile

Full Name	Kenneth B Lake
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	21 Years
Location	1501 E 3rd St, Delta, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenneth B Lake graduated from nursing school in 2005

NPI Data:

NPI Number: 1003964024
Provider Enumeration Date: 01/08/2007
Last Update Date: 06/05/2026

Medicare PECOS Information:

PECOS PAC ID: 6608936752
Enrollment ID: I20220613002733

Medical Identifiers

Medical identifiers for Kenneth B Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003964024	NPI	-	NPPES
9000203100	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	APN.0997653-CRNA (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Delta County Memorial Hospital	Delta, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Delta County Memorial Hospital	1850200601	104

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. Kenneth B Lake allows following entities to bill medicare on his behalf.

Entity Name	Delta County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417935446 PECOS PAC ID: 1850200601 Enrollment ID: O20040113000653

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. Kenneth B 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
Kenneth B Lake, CRNA Po Box 10100, Delta, CO 81416-0008 Ph: (970) 874-7681	Kenneth B Lake, CRNA 1501 E 3rd St, Delta, CO 81416-2815 Ph: (970) 874-7681

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Delta, CO

Heather L Driver, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 Fax: 970-874-6400
Mr. Carey B Simon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-2255
Clint B Pitchforth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 Fax: 970-874-6400
Molly Hartman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681
Kimberley W Brighton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681
Christine A Hamilton, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681

Kenneth B Lake, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Delta, CO