Cally Vaughn, OD is a medicare enrolled "Optometrist" provider in Deforest, Wisconsin. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Essential Family Vision Care, S.c. and her current practice location is
101 S Main St, Deforest, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 846-5625.
Cally Vaughn is licensed to practice in Wisconsin (license number 3696-35) 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 1922677392.
Healthcare Provider's Profile
| Full Name | Cally Vaughn |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 4 Years |
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| Location | 101 S Main St, Deforest, Wisconsin |
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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:
- Cally Vaughn graduated from medical school in 2021
NPI Data:
- NPI Number: 1922677392
- Provider Enumeration Date: 06/21/2021
- Last Update Date: 09/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517361959
- Enrollment ID: I20210809000226
Medical Identifiers
Medical identifiers for Cally Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922677392 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3696-35 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Essential Family Vision Care, S.c. | 5890752786 | 3 |
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. Cally Vaughn allows following entities to bill medicare on her behalf.
| Provider Name | Essential Family Vision Care, S.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1205953866
PECOS PAC ID: 5890752786
Enrollment ID: O20041213000380 |
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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. Cally 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 |
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Cally Vaughn, OD
101 S Main St,
Deforest, WI 53532-1109
Ph: () - | Cally Vaughn, OD
101 S Main St,
Deforest, WI 53532-1109
Ph: (608) 846-5625 |
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