Dr Russell Steven Lake, OD in East Wenatchee, WA

Dr Russell Steven Lake, OD is a medicare enrolled "Optometrist" provider in East Wenatchee, Washington. His current practice location is 375 Highline Dr, East Wenatchee, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 886-0924.

Dr Russell Steven Lake is licensed to practice in Washington (license number 61042825) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720603392.

Contact Information

	Dr Russell Steven Lake, OD
	375 Highline Dr, East Wenatchee, WA 98802-5344
	(509) 886-0924
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Russell Steven Lake
Gender	Male
Speciality	Optometrist
Location	375 Highline Dr, East Wenatchee, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720603392
Provider Enumeration Date: 06/10/2020
Last Update Date: 06/10/2020

Medicare PECOS Information:

PECOS PAC ID: 9739534348
Enrollment ID: I20231017000336

Medical Identifiers

Medical identifiers for Dr Russell Steven Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720603392	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	61042825 (Washington)	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. Dr Russell Steven Lake allows following entities to bill medicare on his behalf.

Provider Name	Valley Eye And Vision Clinic , Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881236909 PECOS PAC ID: 7719313790 Enrollment ID: O20200211001992

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. Dr Russell Steven 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
Dr Russell Steven Lake, OD 375 Highline Dr, East Wenatchee, WA 98802-5344 Ph: (509) 886-0924	Dr Russell Steven Lake, OD 375 Highline Dr, East Wenatchee, WA 98802-5344 Ph: (509) 886-0924

Reviews and Comments

Optometrist in East Wenatchee, WA

Valley Eye And Vision Clinic , Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 111 Eastmont Ave, East Wenatchee, WA 98802 Phone: 509-766-1880 Fax: 509-766-1577
Dr. Amanda Joy Donabauer, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1411 N Aurora Ave, East Wenatchee, WA 98802 Phone: 509-421-9376
Vision Menagerie Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 111 Eastmont Ave, East Wenatchee, WA 98802 Phone: 509-884-9595 Fax: 509-884-0218
Dorthea K Huber, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 375 Highline Dr, East Wenatchee, WA 98802 Phone: 509-886-0924

Dr Russell Steven Lake, OD - Medicare Optometrist in East Wenatchee, WA