Dr James Vaughan, MD - Medicare Pathology in Milwaukee, WI

Dr James Vaughan, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Milwaukee, Wisconsin. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 2007 and has 17 years of diverse experience with area of expertise as Pathology. He is a member of the group practice University Pathologists, P.c. and his current practice location is 8701 W Watertown Plank Rd, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 456-8296.

Dr James Vaughan is licensed to practice in Tennessee (license number 48735) 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 1003019860.

Contact Information

Dr James Vaughan, MD
8701 W Watertown Plank Rd,
Milwaukee, WI 53226-3548
(414) 456-8296
Not Available

Map and Direction




Physician's Profile

Full NameDr James Vaughan
GenderMale
SpecialityPathology
Experience17 Years
Location8701 W Watertown Plank Rd, Milwaukee, Wisconsin
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 James Vaughan attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2007
  NPI Data:
  • NPI Number: 1003019860
  • Provider Enumeration Date: 06/08/2007
  • Last Update Date: 09/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6608023585
  • Enrollment ID: I20120828000768

Medical Identifiers

Medical identifiers for Dr James Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003019860NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 48735 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Tn Medical CenterKnoxville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Pathologists, P.c.892107509412

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 James Vaughan allows following entities to bill medicare on his behalf.
Entity NameUniversity Pathologists, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013039924
PECOS PAC ID: 8921075094
Enrollment ID: O20040916000982

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 James 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 AddressPractice Location Address
Dr James Vaughan, MD
315a N 71st St,
Wauwatosa, WI 53213-3745

Ph: (214) 533-4830
Dr James Vaughan, MD
8701 W Watertown Plank Rd,
Milwaukee, WI 53226-3548

Ph: (414) 456-8296

Reviews and Comments


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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.