Jerrod Lee Vaughn, MD | |
1301 W 6th Ave Ste 105, Stillwater Surgical Associates, Stillwater, OK 74074-4376 | |
(405) 533-1074 | |
(405) 533-2642 |
Full Name | Jerrod Lee Vaughn |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 18 Years |
Location | 1301 W 6th Ave Ste 105, Stillwater, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326245804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 25846 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Stillwater Medical Center | Stillwater, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stillwater Medical Center Authority | 2365353794 | 131 |
Entity Name | Stillwater Medical Center Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558377135 PECOS PAC ID: 2365353794 Enrollment ID: O20040525001304 |
Mailing Address | Practice Location Address |
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Jerrod Lee Vaughn, MD 1301 W 6th Ave Ste 105, Stillwater Surgical Associates, Stillwater, OK 74074-4376 Ph: (405) 533-1074 | Jerrod Lee Vaughn, MD 1301 W 6th Ave Ste 105, Stillwater Surgical Associates, Stillwater, OK 74074-4376 Ph: (405) 533-1074 |
Joshua Chitwood, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1323 W 6th Ave, Stillwater, OK 74074 Phone: 405-372-1480 | |
Jack T Dancer I, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1301 W 6th Ave, Suite 105, Stillwater, OK 74074 Phone: 405-533-1074 | |
Cara Denise Pence, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 W 6th Ave Ste 105, Stillwater, OK 74074 Phone: 405-533-1074 Fax: 405-533-6074 |