| Mr Vaughn Robart, LCSW | |
|
1404 N 5th St, Vandalia, IL 62471-1039 | |
| (618) 431-2275 | |
| (618) 431-2278 |
| Full Name | Mr Vaughn Robart |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 33 Years |
| Location | 1404 N 5th St, Vandalia, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851792782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.016499 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ultacare Medical Pllc | 4789687484 | 33 |
| Jubilee House Outreach | 6406076280 | 3 |
| Entity Name | Jubilee House Outreach |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215359880 PECOS PAC ID: 6406076280 Enrollment ID: O20140929001998 |
| Entity Name | Ultacare Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225141492 PECOS PAC ID: 4789687484 Enrollment ID: O20220321000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Vaughn Robart, LCSW 406 S 5th St, Greenville, IL 62246-1605 Ph: (618) 616-5608 | Mr Vaughn Robart, LCSW 1404 N 5th St, Vandalia, IL 62471-1039 Ph: (618) 431-2275 |
Jessica L Wright, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 623 Bow Dr, Vandalia, IL 62471 Phone: 253-376-9761 | |
Britni Jordan Hosick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 N 6th St, Vandalia, IL 62471 Phone: 405-831-6437 | |
Dr. Melanie Catlin Schaafsma, MSW, LSW, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1404 N 5th St, Vandalia, IL 62471 Phone: 618-283-2883 Fax: 618-283-2883 |