Dr Shirley Lynne Van, MD in Modesto, CA

Dr Shirley Lynne Van, MD is a medicare enrolled "Dermatology" physician in Modesto, California. She went to University Of Miami, Lm Miller School Of Medicine and graduated in 1982 and has 43 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Csi Medical Group, Soderstrom Dermatology Center S C. and her current practice location is 1429 College Ave, Suite B, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 526-2242.

Dr Shirley Lynne Van is licensed to practice in California (license number G51607) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063530749.

Contact Information

	Dr Shirley Lynne Van, MD
	1429 College Ave, Suite B, Modesto, CA 95350-4046
	(209) 526-2242
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shirley Lynne Van
Gender	Female
Speciality	Dermatology
Experience	43 Years
Location	1429 College Ave, Modesto, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shirley Lynne Van attended and graduated from University Of Miami, Lm Miller School Of Medicine in 1982

NPI Data:

NPI Number: 1063530749
Provider Enumeration Date: 03/27/2007
Last Update Date: 05/10/2024

Medicare PECOS Information:

PECOS PAC ID: 6507941580
Enrollment ID: I20080314000495

Medical Identifiers

Medical identifiers for Dr Shirley Lynne Van such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063530749	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	036164415 (Illinois)	Secondary
207N00000X	Dermatology	G51607 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Csi Medical Group	5890916845	100
Soderstrom Dermatology Center S C.	2062432651	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. Dr Shirley Lynne Van allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	Csi Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930

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 Shirley Lynne Van 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 Shirley Lynne Van, MD 1429 College Ave, Suite B, Modesto, CA 95350-4057 Ph: (209) 526-2242	Dr Shirley Lynne Van, MD 1429 College Ave, Suite B, Modesto, CA 95350-4046 Ph: (209) 526-2242

Reviews and Comments

Dermatology Doctors in Modesto, CA

Mr. Blake Daniel Alexander, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1101 Standiford Ave, Suite A-3, Modesto, CA 95350 Phone: 209-578-5072 Fax: 209-578-5292
Thomas G Salopek, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Dr. Daniel Jerome Trozak, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1444 Florida Ave, Ste 201, Modesto, CA 95350 Phone: 209-526-4384
Dr. Purita Z Villanueva, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350 Phone: 209-572-3224 Fax: 209-572-4528
Gary Wagner, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Kinston Cummings, Dermatology Medicare: Medicare Enrolled Practice Location: 3105 Mchenry Ave Ste 101, Modesto, CA 95350 Phone: 209-575-2700

Dr Shirley Lynne Van, MD - Medicare Dermatology in Modesto, CA