Krista Vaughan, OT in Fort Wayne, IN - Medicare Occupational Therapist Provider

Krista Vaughan, OT is a medicare enrolled "Occupational Therapist" provider in Fort Wayne, Indiana. Her current practice location is 3320 N Clinton St, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 483-2100.

Krista Vaughan is licensed to practice in Indiana (license number 31004498A) 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 1649459108.

Contact Information

	Krista Vaughan, OT
	3320 N Clinton St, Fort Wayne, IN 46805-1918
	(260) 483-2100
	(260) 484-5059

Map and Direction

Healthcare Provider's Profile

Full Name	Krista Vaughan
Gender	Female
Speciality	Occupational Therapist
Location	3320 N Clinton St, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649459108
Provider Enumeration Date: 10/31/2007
Last Update Date: 11/13/2008

Medicare PECOS Information:

PECOS PAC ID: 9133599665
Enrollment ID: I20221228000485

Medical Identifiers

Medical identifiers for Krista Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649459108	NPI	-	NPPES
200868170	Medicaid	IN
000000530791	Other	IN	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	31004498A (Indiana)	Primary

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. Krista Vaughan allows following entities to bill medicare on her behalf.

Provider Name	Orthopedic And Sports Medicine Center Of Northern Indiana Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710085253 PECOS PAC ID: 0840260105 Enrollment ID: O20040727000002

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. Krista Vaughan 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
Krista Vaughan, OT 3320 N Clinton St, Fort Wayne, IN 46805-1918 Ph: (260) 483-2100	Krista Vaughan, OT 3320 N Clinton St, Fort Wayne, IN 46805-1918 Ph: (260) 483-2100

Reviews and Comments

Occupational Therapist in Fort Wayne, IN

Holly Guenther, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3439 Hobson Rd, Fort Wayne, IN 46805 Phone: 260-373-7925
Lauren Elaine Lavy, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4300
Mrs. Lori Snodgrass, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2622 Lake Ave, Fort Wayne, IN 46805 Phone: 260-460-3279 Fax: 260-460-3158
Caleb Oren, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2827 Northgate Blvd, Fort Wayne, IN 46835 Phone: 260-492-1400
Addie Kern, OTD, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4935 Hillegas Rd, Fort Wayne, IN 46818 Phone: 260-338-1241 Fax: 260-338-1231
Cody Reese Zimmer, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 300 E Washington Blvd, Fort Wayne, IN 46802 Phone: 260-422-5511
Stephanie Bowers, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4180 Sage Bluff Crossing, Fort Wayne, IN 46804 Phone: 260-443-7300 Fax: 260-482-5005

Krista Vaughan, OT - Medicare Occupational Therapist in Fort Wayne, IN