Clark K Vaughan, PT in Beckley, WV - Medicare Physical Therapist Provider

Clark K Vaughan, PT is a medicare enrolled "Physical Therapist" provider in Beckley, West Virginia. His current practice location is 109 College Ave, Beckley, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 545-2152.

Clark K Vaughan is licensed to practice in West Virginia (license number 01221) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659365898.

Contact Information

	Clark K Vaughan, PT
	109 College Ave, Beckley, WV 25801-6018
	(304) 545-2152
	(304) 255-7120

Map and Direction

Healthcare Provider's Profile

Full Name	Clark K Vaughan
Gender	Male
Speciality	Physical Therapist
Location	109 College Ave, Beckley, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659365898
Provider Enumeration Date: 09/02/2005
Last Update Date: 11/23/2021

Medicare PECOS Information:

PECOS PAC ID: 9638143316
Enrollment ID: I20170313002360

Medical Identifiers

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

Identifier	Type	State	Issuer
1659365898	NPI	-	NPPES
157476000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	01221 (West Virginia)	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. Clark K Vaughan allows following entities to bill medicare on his behalf.

Provider Name	University Of Utah
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588656870 PECOS PAC ID: 0749262665 Enrollment ID: O20050629000441

Provider Name	University Of Utah Community Physicians Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118

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. Clark K 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
Clark K Vaughan, PT 109 College Ave, Beckley, WV 25801-6018 Ph: (304) 545-2152	Clark K Vaughan, PT 109 College Ave, Beckley, WV 25801-6018 Ph: (304) 545-2152

Reviews and Comments

Physical Therapist in Beckley, WV

Mrs. Angela Michelle Strickland, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2233 S Kanawha St, Beckley, WV 25801 Phone: 304-255-9248 Fax: 304-255-9237
Catherine Canizares, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 Stanaford Rd, Beckley, WV 25801 Phone: 304-255-3302 Fax: 304-254-2783
Adriel R. Green, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9 Yellow Wood Way, Beckley, WV 25801 Phone: 304-255-2376 Fax: 304-255-7120
Jukey Dotson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 423 Carriage Dr, Beckley, WV 25801 Phone: 304-253-7246 Fax: 304-253-7250
Charles Dodson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Neville St, Beckley, WV 25801 Phone: 304-256-4712
John Beasley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 423 Carriage Dr, Beckley, WV 25801 Phone: 304-253-7246 Fax: 304-253-7250
Michael P Bates, PT CCM Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9 Yellow Wood Way, Beckley, WV 25801 Phone: 304-255-2376 Fax: 304-255-7120

Clark K Vaughan, PT - Medicare Physical Therapist in Beckley, WV