Polly Marie Vaughn, in Bourbonnais, IL - Medicare Counselor Provider

Polly Marie Vaughn, is a medicare enrolled "Counselor - Professional" provider in Bourbonnais, Illinois. Her current practice location is 206 Chesterfield Ct, Bourbonnais, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 603-2425.

Polly Marie Vaughn is licensed to practice in Illinois (license number 180009894) 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 1750754008.

Contact Information

	Polly Marie Vaughn,
	206 Chesterfield Ct, Bourbonnais, IL 60914-9652
	(815) 603-2425
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Polly Marie Vaughn
Gender	Female
Speciality	Counselor - Professional
Location	206 Chesterfield Ct, Bourbonnais, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750754008
Provider Enumeration Date: 11/09/2015
Last Update Date: 06/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7517307846
Enrollment ID: I20240502003099

Medical Identifiers

Medical identifiers for Polly Marie Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750754008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180009894 (Illinois)	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. Polly Marie Vaughn allows following entities to bill medicare on her behalf.

Entity Name	Techforce Counseling & Community Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922860451 PECOS PAC ID: 5799122891 Enrollment ID: O20240326000038

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. Polly Marie 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
Polly Marie Vaughn, Po Box 2199, Kankakee, IL 60901-1199 Ph: (815) 603-2425	Polly Marie Vaughn, 206 Chesterfield Ct, Bourbonnais, IL 60914-9652 Ph: (815) 603-2425

Reviews and Comments

Counselor in Bourbonnais, IL

Megan K Bucklin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 197 W. Harrison Street, Suite 2, Bourbonnais, IL 60914 Phone: 815-935-5540 Fax: 815-935-5459
Ms. Daphne Lynn Bogenschneider, LCPC, LSOTP, LSOE Counselor Medicare: Not Enrolled in Medicare Practice Location: 183 E Bethel Dr, Keystone Counseling, Bourbonnais, IL 60914 Phone: 815-939-1900 Fax: 815-939-1902
Ms. Sheryl Ann Palinski, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 S Main St, Bourbonnais, IL 60914 Phone: 815-939-1912 Fax: 815-936-9666
Ms. Toni Vanessa Sutton, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Brown Blvd, Bourbonnais, IL 60914 Phone: 815-214-9766
Kristina Marie Billadeau, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1137 E 5000n Rd, Bourbonnais, IL 60914 Phone: 815-216-9025
Mrs. Joy Ann Weber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Revere St, Bourbonnais, IL 60914 Phone: 815-936-6266 Fax: 815-936-7606
Thomas Showers, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 Heritage Dr Ste 208, Bourbonnais, IL 60914 Phone: 708-265-7809

Polly Marie Vaughn, - Medicare Counselor in Bourbonnais, IL