Lucas Nathan Vine, PA- C - Medicare Physician Assistant in Stateline, NV

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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.

Contact Information

Lucas Nathan Vine, PA- C
276 Kingsbury Grade Ste 101,
Stateline, NV 89449-9804
(775) 588-5000
Not Available

Map and Direction




Physician's Profile

Full NameLucas Nathan Vine
GenderMale
SpecialityPhysician Assistant
Experience2 Years
Location276 Kingsbury Grade Ste 101, Stateline, Nevada
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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.
IdentifierTypeStateIssuer
1942001474NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology PA3176 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Barton Memorial HospitalSouth lake tahoe, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Martin E. Salm, M.d., Ltd.09412196203

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 AddressPractice 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

Reviews and Comments


Dermatology Doctors in Stateline, NV

Martin Ernst Salm, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 276 Kingsbury Grade, Suite 101, Stateline, NV 89449
Phone: 775-588-5000    Fax: 775-588-5001
Dr. Benjamin Daniel Bradford, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 276 Kingsbury Grade # 101, Stateline, NV 89449
Phone: 775-588-5000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.