Dr Albert Russell Vaughn, MD - Medicare Pediatric Medicine in Jefferson City, TN

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Dr Albert Russell Vaughn, MD is a medicare enrolled "Pediatrics" physician in Jefferson City, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Summit Medical Group, Pllc and his current practice location is 120 Hospital Dr Ste 130, Jefferson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (864) 475-4742.

Dr Albert Russell Vaughn is licensed to practice in Tennessee (license number MD0000057030) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689084865.

Contact Information

Dr Albert Russell Vaughn, MD
120 Hospital Dr Ste 130,
Jefferson City, TN 37760-5279
(864) 475-4742
(865) 262-0100

Map and Direction




Physician's Profile

Full NameDr Albert Russell Vaughn
GenderMale
SpecialityPediatric Medicine
Experience10 Years
Location120 Hospital Dr Ste 130, Jefferson City, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Albert Russell Vaughn attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2014
  NPI Data:
  • NPI Number: 1689084865
  • Provider Enumeration Date: 04/28/2014
  • Last Update Date: 06/26/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7315296332
  • Enrollment ID: I20180823001539

Medical Identifiers

Medical identifiers for Dr Albert Russell Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689084865NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD0000057030 (Tennessee)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208000000XPediatrics MD0000057030 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tennova Healthcare-jefferson Memorial HospitalJefferson city, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Pllc2860396330515

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. Dr Albert Russell Vaughn allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659090298
PECOS PAC ID: 2860396330
Enrollment ID: O20031125000793
Entity NameApp Of Tennessee Hm, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396160768
PECOS PAC ID: 5395960694
Enrollment ID: O20140630001088

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. Dr Albert Russell 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 AddressPractice Location Address
Dr Albert Russell Vaughn, MD
1225 E Weisgarber Rd Ste 200,
Knoxville, TN 37909-2675

Ph: (865) 584-4747		Dr Albert Russell Vaughn, MD
120 Hospital Dr Ste 130,
Jefferson City, TN 37760-5279

Ph: (864) 475-4742

Reviews and Comments


Pediatrics Doctors in Jefferson City, TN

Mathew T Kraus, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1059 E Highway 11 E, Jefferson City, TN 37760
Phone: 865-375-6005    Fax: 865-471-0244
William J Williams, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1526 Meadow Spring Dr, Jefferson City, TN 37760
Phone: 865-475-4988    Fax: 865-475-4350
Dr. Jessica Deanne Albright, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 120 Hospital Dr, Suite 130, Jefferson City, TN 37760
Phone: 865-475-4742    Fax: 865-262-0100
Dr. Melissa Ann Cooley, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 380 W Broadway Blvd, Jefferson City, TN 37760
Phone: 865-475-4742    Fax: 833-908-2080
Dr. Laura Kraus, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1059 E Highway 11 E, Jefferson City, TN 37760
Phone: 865-375-6005    Fax: 865-471-0244

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.