Diana Vaughn, FNP-C | |
1112 Oak St Ste 102, Carmi, IL 62821-1344 | |
(618) 382-5985 | |
(855) 827-3536 |
Full Name | Diana Vaughn |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1112 Oak St Ste 102, Carmi, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588185888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 041290795 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209.016082 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Crossroads Community Hospital | Mount vernon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Deaconess Illinois Specialty Clinic, Inc. | 9830562016 | 77 |
Entity Name | Deaconess Illinois Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962128256 PECOS PAC ID: 5092187021 Enrollment ID: O20230220002667 |
Entity Name | Deaconess Illinois Crossroads Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528785284 PECOS PAC ID: 0143692178 Enrollment ID: O20230221000097 |
Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
Mailing Address | Practice Location Address |
---|---|
Diana Vaughn, FNP-C Po Box 429, Mc Leansboro, IL 62859-0429 Ph: (618) 643-2361 | Diana Vaughn, FNP-C 1112 Oak St Ste 102, Carmi, IL 62821-1344 Ph: (618) 382-5985 |
Chanda Fern Sauls, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 Commerce St, Carmi, IL 62821 Phone: 618-384-5686 | |
Mrs. Kathryn H Adams, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1112 Oak St, Carmi, IL 62821 Phone: 618-382-5030 | |
Roxanna Lee Gunnels, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Commerce St, Carmi, IL 62821 Phone: 618-384-5686 Fax: 618-382-2882 | |
Ms. Kathy Lynn Taylor, MSN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1112 Oak St Ste 102, Carmi, IL 62821 Phone: 618-382-5985 Fax: 855-827-3536 | |
Lisa Dawn Russell, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1343 County Road 1450 E, Carmi, IL 62821 Phone: 618-382-2103 | |
Rachel A Sinclair, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Commerce St, Carmi, IL 62821 Phone: 618-384-5686 Fax: 618-382-2882 |