Sandra Vaughn, NP is a medicare enrolled "Nurse Practitioner" physician in Knoxville, Tennessee. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Knoxville Dermatology Group Pc and her current practice location is
1928 Alcoa Hwy Ste 209, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 524-2547.
Sandra Vaughn is licensed to practice in Tennessee (license number APN12432) 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 1073693206.
Physician's Profile
| Full Name | Sandra Vaughn |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 21 Years |
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| Location | 1928 Alcoa Hwy Ste 209, Knoxville, Tennessee |
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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. |
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Medical Education and Training:
- Sandra Vaughn graduated from medical school in 2003
NPI Data:
- NPI Number: 1073693206
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 08/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 6204872062
- Enrollment ID: I20070730000577
Medical Identifiers
Medical identifiers for Sandra Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073693206 | NPI | - | NPPES |
| 1513689 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | APN12432 (Tennessee) | Secondary |
| 363L00000X | Nurse Practitioner | APN12432 (Tennessee) | Primary |
| 363L00000X | Nurse Practitioner | RN083514 (Georgia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Knoxville Dermatology Group Pc | 8123009636 | 25 |
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. Sandra Vaughn allows following entities to bill medicare on her behalf.
| Entity Name | Knoxville Dermatology Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760419014
PECOS PAC ID: 8123009636
Enrollment ID: O20040528000815 |
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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. Sandra 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 |
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Sandra Vaughn, NP
1928 Alcoa Hwy Ste 209,
Knoxville, TN 37920-1504
Ph: (865) 524-2547 | Sandra Vaughn, NP
1928 Alcoa Hwy Ste 209,
Knoxville, TN 37920-1504
Ph: (865) 524-2547 |
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