Mr Willard Allen Vaughn, LPC in Hampton, VA - Medicare Counselor Provider

Mr Willard Allen Vaughn, LPC is a medicare enrolled "Counselor - Professional" provider in Hampton, Virginia. His current practice location is 110 Coliseum Xing # 6045, Hampton, Virginia. You can reach out to his office (for appointments etc.) via phone at (833) 464-5438.

Mr Willard Allen Vaughn is licensed to practice in Virginia (license number 0701007739) 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 1760637219.

Contact Information

	Mr Willard Allen Vaughn, LPC
	110 Coliseum Xing # 6045, Hampton, VA 23666-5971
	(833) 464-5438
	(757) 578-8226

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Willard Allen Vaughn
Gender	Male
Speciality	Counselor - Professional
Location	110 Coliseum Xing # 6045, Hampton, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760637219
Provider Enumeration Date: 11/25/2008
Last Update Date: 12/11/2024

Medicare PECOS Information:

PECOS PAC ID: 2365873510
Enrollment ID: I20240617002813

Medical Identifiers

Medical identifiers for Mr Willard Allen Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760637219	NPI	-	NPPES
319116800	Medicaid	MD
30015303970001	Medicaid	VA
070892283	Medicaid	DC
30050538	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LC10487 (Maryland)	Secondary
101YP2500X	Counselor - Professional	PRC15236 (District Of Columbia)	Secondary
101YM0800X	Counselor - Mental Health	39003460A (Indiana)	Secondary
101YP2500X	Counselor - Professional	0701007739 (Virginia)	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. Mr Willard Allen Vaughn allows following entities to bill medicare on his behalf.

Entity Name	The Milieu Therapeutic Services, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679068597 PECOS PAC ID: 2668837147 Enrollment ID: O20230505001798

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. Mr Willard Allen Vaughn 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
Mr Willard Allen Vaughn, LPC 110 Coliseum Xing # 6045, Hampton, VA 23666-5971 Ph: (833) 464-5438	Mr Willard Allen Vaughn, LPC 110 Coliseum Xing # 6045, Hampton, VA 23666-5971 Ph: (833) 464-5438

Reviews and Comments

Counselor in Hampton, VA

Ms. Rhyan L Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Corwin Cir, Hampton, VA 23666 Phone: 757-418-2226
Meghan Stringer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 W Kelly Ave, Hampton, VA 23663 Phone: 313-443-7477
Candice S Jenkins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Dr, Hampton, VA 23666 Phone: 757-788-0092 Fax: 757-788-0969
Letitia N Laurien, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2204 Executive Dr, Suite A, Hampton, VA 23666 Phone: 757-644-3989 Fax: 866-813-7798
Anthony Joseph Reese, REGISTERED NURSE Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 W Queen St, Hampton, VA 23669 Phone: 757-374-8591
Chasity Yvette Chambliss, THERAPIST Counselor Medicare: Medicare Enrolled Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-772-9961
Lena Baker-scott, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 15 Research Dr, Hampton, VA 23666 Phone: 757-570-5312

Mr Willard Allen Vaughn, LPC - Medicare Counselor in Hampton, VA