Dr Shirley Lynne Van, MD in San Luis Obispo, CA

Dr Shirley Lynne Van, MD is a medicare enrolled "Dermatology" physician in San Luis Obispo, 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. Her current practice location is 862 Aerovista Pl Ste 100, San Luis Obispo, California. You can reach out to her office (for appointments etc.) via phone at (805) 549-8023.

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
	862 Aerovista Pl Ste 100, San Luis Obispo, CA 93401-8758
	(805) 549-8023
	(805) 549-8252

Map and Direction

Physician's Profile

Full Name	Dr Shirley Lynne Van
Gender	Female
Speciality	Dermatology
Experience	43 Years
Location	862 Aerovista Pl Ste 100, San Luis Obispo, 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: 10/01/2025

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	G51607 (California)	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 Shirley Lynne Van allows following entities to bill medicare on her behalf.

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	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 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Dr Shirley Lynne Van, MD 862 Aerovista Pl Ste 100, San Luis Obispo, CA 93401-8758 Ph: (805) 549-8023

Reviews and Comments

Dermatology Doctors in San Luis Obispo, CA

Lisa Lindvall Aquino, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 990 Pacific St, San Luis Obispo, CA 93401 Phone: 805-544-5567 Fax: 805-544-5567
Christine Denise Kilcline, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 892 Aerovista Pl Ste 120, San Luis Obispo, CA 93401 Phone: 805-544-5567 Fax: 805-544-3265
Ronnie M Abraham, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3440 Empresa Dr Ste B, San Luis Obispo, CA 93401 Phone: 805-548-1550 Fax: 805-623-1595
John Barry Siebenlist, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1551 Bishop St, Suite 220, San Luis Obispo, CA 93401 Phone: 805-541-0668 Fax: 805-541-8213
Charles B. Fishman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1551 Bishop St, Suite 410, San Luis Obispo, CA 93401 Phone: 805-541-4180 Fax: 805-541-2542
Robert Jeffrey Herten, MD Dermatology Medicare: Medicare Enrolled Practice Location: 15 Santa Rosa St, San Luis Obispo, CA 93405 Phone: 805-541-2650 Fax: 805-541-4043

Dr Shirley Lynne Van, MD - Medicare Dermatology in San Luis Obispo, CA