Adam Boyd Vaughn, is a medicare enrolled "Anesthesiology - Critical Care Medicine" in Jackson, Tennessee. His current practice location is
620 Skyline Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 541-5000.
Adam Boyd Vaughn is licensed to practice in Tennessee (license number 5572) 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 1003515271.
Provider's Profile
Full Name | Adam Boyd Vaughn |
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Gender | Male |
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Speciality | Anesthesiology - Critical Care Medicine |
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Location | 620 Skyline Dr, Jackson, Tennessee |
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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: 1003515271
- Provider Enumeration Date: 02/27/2023
- Last Update Date: 04/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345683462
- Enrollment ID: I20240206002119
Medical Identifiers
Medical identifiers for Adam Boyd Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003515271 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
207LC0200X | Anesthesiology - Critical Care Medicine | 5572 (Tennessee) | 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. Adam Boyd 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 |
Adam Boyd Vaughn, 16 Woodwinds Cv, Jackson, TN 38305-7407 Ph: () - | Adam Boyd Vaughn, 620 Skyline Dr, Jackson, TN 38301-3923 Ph: (731) 541-5000 |
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