Ms Kristin Marie Vaught, DMD is a
Dentist based in Coal City, Illinois. Ms Kristin Marie Vaught is licensed to practice in Illinois (license number 019032292) and her current practice location is
595 N Broadway St, Coal City, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 634-8009.
NPI number for Ms Kristin Marie Vaught is 1669029245 and her current mailing address is 1030 Wildy Rd, Minooka, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669029245.
Healthcare Provider's Profile
Full Name | Ms Kristin Marie Vaught |
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Gender | Female |
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Speciality | Dentist |
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Location | 595 N Broadway St, Coal City, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669029245
- Provider Enumeration Date: 08/20/2019
- Last Update Date: 08/20/2019
Medical Identifiers
Medical identifiers for Ms Kristin Marie Vaught such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669029245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 019032292 (Illinois) | Secondary |
122300000X | Dentist | 019032292 (Illinois) | Primary |
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. Ms Kristin Marie Vaught is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Kristin Marie Vaught, DMD 1030 Wildy Rd, Minooka, IL 60447-9795 Ph: (815) 830-0928 | Ms Kristin Marie Vaught, DMD 595 N Broadway St, Coal City, IL 60416-1046 Ph: (815) 634-8009 |
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