Dr John Shackelford Lane Iii, MD in San Diego, CA

Dr John Shackelford Lane Iii, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in San Diego, California. He went to University Of California, Geffen School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Regents Of The University Of California and his current practice location is 200 W Arbor Dr, Mailcode 7403, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 657-7404.

Dr John Shackelford Lane Iii is licensed to practice in California (license number 000000G81602) 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 1043390172.

Contact Information

	Dr John Shackelford Lane Iii, MD
	200 W Arbor Dr, Mailcode 7403, San Diego, CA 92103-9000
	(858) 657-7404
	(858) 657-5033

Map and Direction

Physician's Profile

Full Name	Dr John Shackelford Lane Iii
Gender	Male
Speciality	Vascular Surgery
Experience	31 Years
Location	200 W Arbor Dr, San Diego, 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:

Dr John Shackelford Lane Iii attended and graduated from University Of California, Geffen School Of Medicine in 1993

NPI Data:

NPI Number: 1043390172
Provider Enumeration Date: 10/16/2006
Last Update Date: 04/04/2013

Medicare PECOS Information:

PECOS PAC ID: 0143214981
Enrollment ID: I20040413001614

Medical Identifiers

Medical identifiers for Dr John Shackelford Lane Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043390172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	000000G81602 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Uc San Diego Health Hillcrest - Hillcrest Med Ctr	San diego, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regents Of The University Of California	3577476761	1692

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 John Shackelford Lane Iii allows following entities to bill medicare on his behalf.

Entity Name	University Surgeons Of Orange A Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806904 PECOS PAC ID: 6901705227 Enrollment ID: O20040106000614

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740382993 PECOS PAC ID: 3577476761 Enrollment ID: O20040430001354

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 John Shackelford Lane Iii 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 John Shackelford Lane Iii, MD 200 West Arbor Drive, Mailcode 7403, San Diego, CA 92103-7403 Ph: (858) 657-7404	Dr John Shackelford Lane Iii, MD 200 W Arbor Dr, Mailcode 7403, San Diego, CA 92103-9000 Ph: (858) 657-7404

Reviews and Comments

Surgery Doctors in San Diego, CA

Dr. Samuel R Obiekwe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 113 W G St # 315, San Diego, CA 92101 Phone: 909-816-1032
Dr. Ahmed Sirageldin Suliman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # 8890, San Diego, CA 92103 Phone: 619-294-3746
Mathias John Kill, MD Surgery Medicare: Medicare Enrolled Practice Location: 34730 Bob Wilson Dr, General Surgery Department, San Diego, CA 92134 Phone: 619-532-7575 Fax: 619-532-7673
Scott E. Greenway, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Dr. Kristian L. Brown, M.D., PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7910 Frost St, Suite 250, San Diego, CA 92123 Phone: 858-637-4800 Fax: 858-637-4801
Dr. Robert J Manly, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 8010 Frost St, San Diego, CA 92123 Phone: 858-939-8350 Fax: 858-939-8360
Dr. Michael Bouvet, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, Ucsd Medical Center, San Diego, CA 92103 Phone: 858-822-6191 Fax: 858-822-6192

Dr John Shackelford Lane Iii, MD - Medicare Vascular Surgery in San Diego, CA