Bridgette L Vaughn, NURSE PRACTITIONER is a
Nurse Practitioner - Adult Health based in Cahokia, Illinois. Bridgette L Vaughn is licensed to practice in Illinois (license number 209021052) and her current practice location is
413 Church St, Cahokia, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 304-2333.
NPI number for Bridgette L Vaughn is 1518582139 and her current mailing address is 413 Church St, Cahokia, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518582139.
Provider's Profile
Full Name | Bridgette L Vaughn |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 413 Church St, Cahokia, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518582139
- Provider Enumeration Date: 06/09/2020
- Last Update Date: 06/09/2020
Medical Identifiers
Medical identifiers for Bridgette L Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518582139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | 209021052 (Illinois) | 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. Bridgette L 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 |
Bridgette L Vaughn, NURSE PRACTITIONER 413 Church St, Cahokia, IL 62206-1821 Ph: (618) 304-2333 | Bridgette L Vaughn, NURSE PRACTITIONER 413 Church St, Cahokia, IL 62206-1821 Ph: (618) 304-2333 |
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