Beronda Vaughn, LPN is a
Licensed Practical Nurse based in Dundee, Michigan. Beronda Vaughn is licensed to practice in Michigan (license number 4703105359) and her current practice location is
100 Powell Dr Ste 1, Dundee, Michigan. She can be reached at her office (for appointments etc.) via phone at
(517) 299-1481.
NPI number for Beronda Vaughn is 1346838067 and her current mailing address is 301 Ohio River Dr, Adrian, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346838067.
Provider's Profile
Full Name | Beronda Vaughn |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 100 Powell Dr Ste 1, Dundee, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346838067
- Provider Enumeration Date: 01/07/2021
- Last Update Date: 01/07/2021
Medical Identifiers
Medical identifiers for Beronda Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346838067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN138136 (Ohio) | Secondary |
164W00000X | Licensed Practical Nurse | 4703105359 (Michigan) | 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. Beronda Vaughn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Beronda Vaughn, LPN 301 Ohio River Dr, Adrian, MI 49221-3762 Ph: (517) 306-7059 | Beronda Vaughn, LPN 100 Powell Dr Ste 1, Dundee, MI 48131-8645 Ph: (517) 299-1481 |
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