Patricia M Vaughn-goodman, APRN is a medicare enrolled "Nurse Practitioner - Family" in Ninety Six, South Carolina. She went to University Of South Carolina School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Self Medical Group and her current practice location is
103 Little Mountain Rd, Ninety Six, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 543-3515.
Patricia M Vaughn-goodman is licensed to practice in South Carolina (license number 1951) 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 1669466074.
Provider's Profile
| Full Name | Patricia M Vaughn-goodman |
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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 | 103 Little Mountain Rd, Ninety Six, South Carolina |
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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:
- Patricia M Vaughn-goodman attended and graduated from University Of South Carolina School Of Medicine in 2003
NPI Data:
- NPI Number: 1669466074
- Provider Enumeration Date: 08/31/2005
- Last Update Date: 12/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 3678461886
- Enrollment ID: I20040309000821
Medical Identifiers
Medical identifiers for Patricia M Vaughn-goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669466074 | NPI | - | NPPES |
| NP0741 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1951 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Self Medical Group | 6002953916 | 326 |
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. Patricia M Vaughn-goodman allows following entities to bill medicare on her behalf.
| Entity Name | Self Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982836847
PECOS PAC ID: 6002953916
Enrollment ID: O20091027000071 |
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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. Patricia M Vaughn-goodman 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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Patricia M Vaughn-goodman, APRN
103 Little Mountain Rd,
Ninety Six, SC 29666-9252
Ph: (864) 543-3515 | Patricia M Vaughn-goodman, APRN
103 Little Mountain Rd,
Ninety Six, SC 29666-9252
Ph: (864) 543-3515 |
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