Lucas Nathan Vine, PA- C is a medicare enrolled "Dermatology" physician in Stateline, Nevada. He went to University Of California, Davis School Of Medicine and graduated in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Martin E. Salm, M.d., Ltd. and his current practice location is
276 Kingsbury Grade Ste 101, Stateline, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 588-5000.
Lucas Nathan Vine is licensed to practice in Nevada (license number PA3176) 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 1942001474.
Physician's Profile
| Full Name | Lucas Nathan Vine |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 276 Kingsbury Grade Ste 101, Stateline, Nevada |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lucas Nathan Vine attended and graduated from University Of California, Davis School Of Medicine in 2024
NPI Data:
- NPI Number: 1942001474
- Provider Enumeration Date: 03/21/2025
- Last Update Date: 03/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 9830604230
- Enrollment ID: I20250715002191
Medical Identifiers
Medical identifiers for Lucas Nathan Vine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942001474 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | PA3176 (Nevada) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Martin E. Salm, M.d., Ltd. | 0941219620 | 3 |
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. Lucas Nathan Vine 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 |
|---|
Lucas Nathan Vine, PA- C
276 Kingsbury Grade Ste 101,
Stateline, NV 89449-9804
Ph: (775) 588-5000 | Lucas Nathan Vine, PA- C
276 Kingsbury Grade Ste 101,
Stateline, NV 89449-9804
Ph: (775) 588-5000 |
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