Vernon Henry Lackman, MD in Canyon Country, CA

Vernon Henry Lackman, MD is a medicare enrolled "Internal Medicine" physician in Canyon Country, California. He went to University Of California, Geffen School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Providence Facey Medical Foundation and his current practice location is 17909 Soledad Canyon Rd, Canyon Country, California. You can reach out to his office (for appointments etc.) via phone at (661) 250-5244.

Vernon Henry Lackman is licensed to practice in California (license number G67735) 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 1174554646.

Contact Information

	Vernon Henry Lackman, MD
	17909 Soledad Canyon Rd, Canyon Country, CA 91387-3210
	(661) 250-5244
	(661) 251-7308

Map and Direction

Physician's Profile

Full Name	Vernon Henry Lackman
Gender	Male
Speciality	Internal Medicine
Experience	36 Years
Location	17909 Soledad Canyon Rd, Canyon Country, California
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:

Vernon Henry Lackman attended and graduated from University Of California, Geffen School Of Medicine in 1988

NPI Data:

NPI Number: 1174554646
Provider Enumeration Date: 07/05/2006
Last Update Date: 03/26/2014

Medicare PECOS Information:

PECOS PAC ID: 4183514904
Enrollment ID: I20040316001464

Medical Identifiers

Medical identifiers for Vernon Henry Lackman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174554646	NPI	-	NPPES
00G677350	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	G67735 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Holy Cross Medical Center	Mission hills, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Facey Medical Foundation	3173436276	274

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. Vernon Henry Lackman allows following entities to bill medicare on his behalf.

Entity Name	Providence Facey Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822

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. Vernon Henry Lackman 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
Vernon Henry Lackman, MD Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5692	Vernon Henry Lackman, MD 17909 Soledad Canyon Rd, Canyon Country, CA 91387-3210 Ph: (661) 250-5244

Reviews and Comments

Internal Medicine Doctors in Canyon Country, CA

Navid H. Massoudi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17909 Soledad Canyon Rd, Canyon Country, CA 91387 Phone: 661-250-5230
Erik E Davydov, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17909 Soledad Canyon Rd, Canyon Country, CA 91387 Phone: 661-250-5230 Fax: 661-250-5275
Anush Hasratyan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17909 Soledad Canyon Rd, Canyon Country, CA 91387 Phone: 661-250-5230 Fax: 661-250-5283
Dr. Shamsundar Ramrattan, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28504 Colhary Ct, Canyon Country, CA 91387 Phone: 661-252-7580
Jin A Hur, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14550 W Soledad Anyon Rd, Canyon Country, CA 91387 Phone: 661-250-5200
Maria Rosario Zambrano, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 17909 Soledad Canyon Rd, Canyon Country, CA 91387 Phone: 661-250-5232 Fax: 661-250-5210

Vernon Henry Lackman, MD - Medicare Internal Medicine in Canyon Country, CA