Dr Shanele Mcgowan Vaughn, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Oak Lawn, Illinois. Her current practice location is
5571 W 95th St, Oak Lawn, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 972-9695.
Dr Shanele Mcgowan Vaughn is licensed to practice in Illinois (license number 036136261) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902194822.
Physician's Profile
Full Name | Dr Shanele Mcgowan Vaughn |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 5571 W 95th St, Oak Lawn, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Shanele Mcgowan Vaughn attended and graduated from in
NPI Data:
- NPI Number: 1902194822
- Provider Enumeration Date: 07/12/2011
- Last Update Date: 04/20/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Shanele Mcgowan Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902194822 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | 036136261 (Illinois) | Secondary |
2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | 036136261 (Illinois) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 036136261 (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. Dr Shanele Mcgowan 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 |
Dr Shanele Mcgowan Vaughn, MD Po Box 16008, Chicago, IL 60616-0001 Ph: (708) 972-9695 | Dr Shanele Mcgowan Vaughn, MD 5571 W 95th St, Oak Lawn, IL 60453-2356 Ph: (708) 972-9695 |
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