Mrs Melissa Marie Lake, CRNA in St Louis Park, MN - Medicare Nurse Anesthetist, Certified Registered

Mrs Melissa Marie Lake, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in St Louis Park, Minnesota. Her current practice location is 6500 Excelsior Blvd, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-5222.

Mrs Melissa Marie Lake is licensed to practice in North Carolina (license number 7365) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275961682.

Contact Information

	Mrs Melissa Marie Lake, CRNA
	6500 Excelsior Blvd, St Louis Park, MN 55426-4702
	(952) 993-5222
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Melissa Marie Lake
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	6500 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275961682
Provider Enumeration Date: 10/22/2013
Last Update Date: 09/27/2024

Medicare PECOS Information:

PECOS PAC ID: 5991933541
Enrollment ID: I20140106001410

Medical Identifiers

Medical identifiers for Mrs Melissa Marie Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275961682	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	198 (Minnesota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	7365 (North Carolina)	Primary

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. Mrs Melissa Marie Lake allows following entities to bill medicare on her behalf.

Entity Name	Metropolitan Anesthesia Network Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579

Entity Name	Certified Anesthesia Care Co
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699736348 PECOS PAC ID: 9436439114 Enrollment ID: O20161215001488

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. Mrs Melissa Marie 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
Mrs Melissa Marie Lake, CRNA 6055 Westbrook Rd, Golden Valley, MN 55422-3335 Ph: (773) 469-1872	Mrs Melissa Marie Lake, CRNA 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 Ph: (952) 993-5222

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in St Louis Park, MN

Lindsey Marie Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000
Ms. Susan J Bermel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, Anesthesiology, St Louis Park, MN 55426 Phone: 952-993-5222
Anne Katherine Hennes, APRN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-6016
Alexis Rose Boll, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000
Adrienne Backus, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000
Frank A Jirik, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000
Carie Voges, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000

Mrs Melissa Marie Lake, CRNA - Medicare Nurse Anesthetist, Certified Registered in St Louis Park, MN