Renae Vaughn, RN, MSN, ARNP-C in Palm Coast, FL

Renae Vaughn, RN, MSN, ARNP-C is a medicare enrolled "Nurse Practitioner" in Palm Coast, Florida. Her current practice location is 61 Memorial Medical Pkwy Ste 2812, Palm Coast, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 586-1860.

Renae Vaughn is licensed to practice in Florida (license number APRN9495960) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518923093.

Contact Information

	Renae Vaughn, RN, MSN, ARNP-C
	61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164-5999
	(386) 586-1860
	(386) 586-1861

Map and Direction

Provider's Profile

Full Name	Renae Vaughn
Gender	Female
Speciality	Nurse Practitioner
Location	61 Memorial Medical Pkwy Ste 2812, Palm Coast, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518923093
Provider Enumeration Date: 04/25/2006
Last Update Date: 10/28/2022

Medicare PECOS Information:

PECOS PAC ID: 0749227924
Enrollment ID: I20050408000967

Medical Identifiers

Medical identifiers for Renae Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518923093	NPI	-	NPPES
112979900	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN9495960 (Florida)	Primary
363LA2200X	Nurse Practitioner - Adult Health	A3669 (South Carolina)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	APRN9495960 (Florida)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	4704167219 (Michigan)	Secondary

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. Renae Vaughn allows following entities to bill medicare on her behalf.

Entity Name	Munson Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904

Entity Name	Munson Healthcare Otsego Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164628426 PECOS PAC ID: 8325942535 Enrollment ID: O20040305000525

Entity Name	Munson Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477581759 PECOS PAC ID: 3072426287 Enrollment ID: O20040827000534

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. Renae 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
Renae Vaughn, RN, MSN, ARNP-C Po Box 102222, Atlanta, GA 30368-2222 Ph: (239) 274-8200	Renae Vaughn, RN, MSN, ARNP-C 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164-5999 Ph: (386) 586-1860

Reviews and Comments

Nurse Practitioner Nurses in Palm Coast, FL

Lyne Emilie Homeus, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8 Waywell Pl, Palm Coast, FL 32164 Phone: 386-530-1708
Jennifer A Schroeder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164 Phone: 386-586-1860 Fax: 386-586-1861
Vivian Del Carmen Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Office Park Dr Ste 6, Palm Coast, FL 32137 Phone: 407-299-7333
Jennifer Marie Agosto, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Piedmont Dr, Palm Coast, FL 32164 Phone: 305-588-0373
Amanda Vera, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164 Phone: 386-586-1810 Fax: 386-586-1811
Traci Serrano, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164 Phone: 386-586-1720
Mrs. Venus M. Valliere, ARNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137 Phone: 386-446-5505 Fax: 386-246-3960

Renae Vaughn, RN, MSN, ARNP-C - Medicare Nurse Practitioner in Palm Coast, FL