| Dr Jeffrey Keith Lander, MD, PHD | |
|
16300 Sand Canyon Ave, Suite 612, Irvine, CA 92618-3711 | |
| (949) 753-1001 | |
| (949) 753-1115 |
| Full Name | Dr Jeffrey Keith Lander |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 23 Years |
| Location | 16300 Sand Canyon Ave, Irvine, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174566046 | NPI | - | NPPES |
| WA93332B | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | A93332 (California) | Secondary |
| 207N00000X | Dermatology | A93332 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Dermatology Inc. | 0749282648 | 3 |
| Orange Coast Dermatology, Inc | 3274699442 | 4 |
| Katherine Bao-shian Lee Md A Professional Corporation | 4880819879 | 2 |
| William J Wickwire M D Inc A Professional Corporation | 7315974375 | 9 |
| J Robert West Md Inc | 8729990973 | 132 |
| South Coast Dermatology Institute, A Medical Corporation | 9931092426 | 3 |
| Entity Name | J Robert West Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932154788 PECOS PAC ID: 8729990973 Enrollment ID: O20031105000239 |
| Entity Name | South Coast Dermatology Institute, A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033241138 PECOS PAC ID: 9931092426 Enrollment ID: O20040206000920 |
| Entity Name | William J Wickwire M D Inc A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326119165 PECOS PAC ID: 7315974375 Enrollment ID: O20050720001209 |
| Entity Name | Advanced Dermatology Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336220540 PECOS PAC ID: 0749282648 Enrollment ID: O20070206000339 |
| Entity Name | Orange Coast Dermatology, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790937647 PECOS PAC ID: 3274699442 Enrollment ID: O20090313000181 |
| Entity Name | Lucas Bingham M.d., Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508291436 PECOS PAC ID: 7719116789 Enrollment ID: O20140217000419 |
| Entity Name | Katherine Bao-shian Lee Md A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881012656 PECOS PAC ID: 4880819879 Enrollment ID: O20140708000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey Keith Lander, MD, PHD Po Box 3602, San Clemente, CA 92674-3602 Ph: (949) 485-1812 | Dr Jeffrey Keith Lander, MD, PHD 16300 Sand Canyon Ave, Suite 612, Irvine, CA 92618-3711 Ph: (949) 753-1001 |
Dr. Marit Kay Kreidel, MD Dermatology Medicare: Medicare Enrolled Practice Location: 6 Willard, Dept Of Dermatology, Irvine, CA 92604 Phone: 949-262-5780 | |
Christopher Bransby Zachary, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Plz, Irvine, CA 92697 Phone: 949-824-5515 Fax: 949-824-7454 | |
Gary Cheukman Lee, M.D. , PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4980 Barranca Pkwy Ste 202, Irvine, CA 92604 Phone: 949-733-1336 Fax: 949-733-3387 | |
Dr. Marjon Vatanchi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6865 Alton Pkwy Ste 210, Irvine, CA 92618 Phone: 949-800-8551 Fax: 949-800-8090 | |
Dr. Dana Marie Hutchison, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1001 Health Sciences Rd, Irvine, CA 92617 Phone: 949-824-6119 | |
Dr. Sogol Saghari, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 113 Waterworks Way Ste 235, Irvine, CA 92618 Phone: 949-679-6564 Fax: 949-679-6554 | |
Jessica Shiu, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 118 Medical Surge 1, Irvine, CA 92697 Phone: 949-824-4405 |