Shannon Patrick Buck, DO in Jbsa Lackland, TX

Shannon Patrick Buck, DO is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Jbsa Lackland, Texas. His current practice location is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 292-8200.

Shannon Patrick Buck is licensed to practice in Texas (license number S0144) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578895744.

Contact Information

	Shannon Patrick Buck, DO
	1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
	(210) 292-8200
	(210) 292-3781

Map and Direction

Physician's Profile

Full Name	Shannon Patrick Buck
Gender	Male
Speciality	Dermatology - Mohs-micrographic Surgery
Location	1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578895744
Provider Enumeration Date: 02/12/2010
Last Update Date: 01/22/2020

Medicare PECOS Information:

PECOS PAC ID: 4385874825
Enrollment ID: I20190410001030

Medical Identifiers

Medical identifiers for Shannon Patrick Buck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578895744	NPI	-	NPPES
395705201	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	S0144 (Texas)	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. Shannon Patrick Buck allows following entities to bill medicare on his behalf.

Entity Name	University Of Texas Health Science Center At San Antonio
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664

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. Shannon Patrick Buck 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
Shannon Patrick Buck, DO 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236-5638 Ph: (210) 450-9000	Shannon Patrick Buck, DO 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Ph: (210) 292-8200

Reviews and Comments

Dermatology Doctors in Jbsa Lackland, TX

Heidi Dearborn, DO Dermatology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-5350
Dr. Christopher M Edens, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6225
Dr. Emily Beth Wong, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-8808
Dr. Wendi Wohltmann, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-5350
Jared Eldon Roberts, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-8808 Fax: 210-292-3781
Dr. Matthew Micah Malan, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-292-6225

Shannon Patrick Buck, DO - Medicare Dermatology in Jbsa Lackland, TX