Rebecca Youngblood Vaughn, MD is a medicare enrolled "Dermatology" physician in Hiram, Georgia. Her current practice location is
148 Bill Carruth Pkwy, Ste 280, Hiram, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 363-3343.
Rebecca Youngblood Vaughn is licensed to practice in Georgia (license number 033899) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396754222.
Physician's Profile
Full Name | Rebecca Youngblood Vaughn |
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Gender | Female |
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Speciality | Dermatology |
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Location | 148 Bill Carruth Pkwy, Hiram, Georgia |
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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: 1396754222
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 12/17/2009
Medicare PECOS Information:
- PECOS PAC ID: 2365531274
- Enrollment ID: I20100519000002
Medical Identifiers
Medical identifiers for Rebecca Youngblood Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396754222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 033899 (Georgia) | Primary |
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. Rebecca Youngblood Vaughn allows following entities to bill medicare on her behalf.
Entity Name | Metroderm, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205833894 PECOS PAC ID: 8729076443 Enrollment ID: O20040503000850 |
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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. Rebecca Youngblood 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 |
Rebecca Youngblood Vaughn, MD 148 Bill Carruth Pkwy, Suite 280, Hiram, GA 30141-3754 Ph: (678) 363-3343 | Rebecca Youngblood Vaughn, MD 148 Bill Carruth Pkwy, Ste 280, Hiram, GA 30141-3754 Ph: (678) 363-3343 |
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