William Carey Lake, APRN is a medicare enrolled "Nurse Practitioner - Family" in Hanna, Wyoming. He graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Exceptional Care Services Llc and his current practice location is
1025 Jade Drivee, Hanna, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 321-8782.
William Carey Lake is licensed to practice in Wyoming (license number 44879) 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 1497390017.
Provider's Profile
| Full Name | William Carey Lake |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 1025 Jade Drivee, Hanna, Wyoming |
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| 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:
- William Carey Lake graduated from nursing school in 2015
NPI Data:
- NPI Number: 1497390017
- Provider Enumeration Date: 11/07/2019
- Last Update Date: 12/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 6204261977
- Enrollment ID: I20241230002818
Medical Identifiers
Medical identifiers for William Carey Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1497390017 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 44879 (Wyoming) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Exceptional Care Services Llc | 5799175741 | 29 |
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. William Carey Lake allows following entities to bill medicare on his behalf.
| Entity Name | Exceptional Care Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245900794 PECOS PAC ID: 5799175741 Enrollment ID: O20211206001293 |
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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. William Carey 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 |
William Carey Lake, APRN 1008 Feldspar Ct, Hanna, WY 82327-5046 Ph: (859) 314-7052 | William Carey Lake, APRN 1025 Jade Drivee, Hanna, WY 82327-8232 Ph: (307) 321-8782 |
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