Jared C Vaughan, MD is a medicare enrolled "Emergency Medicine" physician in Keesler Afb, Mississippi. His current practice location is
301 Fisher St, Keesler Afb, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 376-2273.
Jared C Vaughan is licensed to practice in Mississippi (license number 31533) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093391351.
Physician's Profile
Full Name | Jared C Vaughan |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 301 Fisher St, Keesler Afb, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093391351
- Provider Enumeration Date: 03/18/2021
- Last Update Date: 07/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092124826
- Enrollment ID: I20210507001865
Medical Identifiers
Medical identifiers for Jared C Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093391351 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 31533 (Mississippi) | 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. Jared C 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 Address | Practice Location Address |
Jared C Vaughan, MD 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: () - | Jared C Vaughan, MD 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: (228) 376-2273 |
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