Katherine Ivey Marie Vaughan, LMFTA in Fort Worth, TX - Medicare Marriage & Family Therapist Provider

Katherine Ivey Marie Vaughan, LMFTA is a medicare enrolled "Marriage & Family Therapist" provider in Fort Worth, Texas. Her current practice location is 11757 Wild Pear Ln, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 657-4631.

Katherine Ivey Marie Vaughan is licensed to practice in Texas (license number 204361) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801539572.

Contact Information

	Katherine Ivey Marie Vaughan, LMFTA
	11757 Wild Pear Ln, Fort Worth, TX 76244-8816
	(817) 657-4631
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katherine Ivey Marie Vaughan
Gender	Female
Speciality	Marriage & Family Therapist
Location	11757 Wild Pear Ln, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801539572
Provider Enumeration Date: 04/19/2022
Last Update Date: 04/20/2022

Medicare PECOS Information:

PECOS PAC ID: 1759739626
Enrollment ID: I20231204000492

Medical Identifiers

Medical identifiers for Katherine Ivey Marie Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801539572	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	204361 (Texas)	Secondary
101YP1600X	Counselor - Pastoral	204361 (Texas)	Secondary
101YP2500X	Counselor - Professional	204361 (Texas)	Secondary
104100000X	Social Worker	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	204361 (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. Katherine Ivey Marie Vaughan allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549

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. Katherine Ivey Marie Vaughan 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
Katherine Ivey Marie Vaughan, LMFTA 11757 Wild Pear Ln, Fort Worth, TX 76244-8816 Ph: (817) 657-4631	Katherine Ivey Marie Vaughan, LMFTA 11757 Wild Pear Ln, Fort Worth, TX 76244-8816 Ph: (817) 657-4631

Reviews and Comments

Marriage & Family Therapist in Fort Worth, TX

Dr. Eunice L Jenkins, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4500 Mercantile Plaza Dr Ste 300, Fort Worth, TX 76137 Phone: 214-273-4024
Maisie Grace Ray, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6115 Camp Bowie Blvd, Fort Worth, TX 76116 Phone: 817-968-1905 Fax: 817-612-3371
Violeta Dimitrova Kadieva, PH. D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3110 E Rosedale St, Fort Worth, TX 76105 Phone: 817-531-4232
Paulina Natalia Guzzardo, PHD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1650 W Rosedale St Ste 305, Fort Worth, TX 76104 Phone: 817-381-5122
David W. Farmer, LPC, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-5051 Fax: 817-735-0651
Nicole Van Ness, PSYD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 604 Candlewood Rd, Fort Worth, TX 76103 Phone: 858-356-7444
Mrs. Zully Schultz, LMFT-A Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1509b S. University Dr., Suite 212, Fort Worth, TX 76107 Phone: 817-885-7777

Katherine Ivey Marie Vaughan, LMFTA - Medicare Couples Therapy in Fort Worth, TX