Joseph Vaughan, LCSW in Pontiac, IL - Medicare Counselor Provider

Joseph Vaughan, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Pontiac, Illinois. His current practice location is 920 W Custer Ave, Pontiac, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 844-6109.

Joseph Vaughan is licensed to practice in Illinois (license number 149007408) 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 1508873381.

Contact Information

	Joseph Vaughan, LCSW
	920 W Custer Ave, Pontiac, IL 61764-1067
	(815) 844-6109
	(815) 844-3561

Map and Direction

Healthcare Provider's Profile

Full Name	Joseph Vaughan
Gender	Male
Speciality	Counselor - Mental Health
Location	920 W Custer Ave, Pontiac, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508873381
Provider Enumeration Date: 08/02/2006
Last Update Date: 06/27/2024

Medicare PECOS Information:

PECOS PAC ID: 2163748054
Enrollment ID: I20230530000733

Medical Identifiers

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

Identifier	Type	State	Issuer
1508873381	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	149007408 (Illinois)	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. Joseph Vaughan allows following entities to bill medicare on his behalf.

Entity Name	Institute For Human Resources Of Livingston County, Il
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649239674 PECOS PAC ID: 7810066511 Enrollment ID: O20080521000463

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. Joseph 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
Joseph Vaughan, LCSW Po Box 768, Pontiac, IL 61764-0768 Ph: (815) 844-6109	Joseph Vaughan, LCSW 920 W Custer Ave, Pontiac, IL 61764-1067 Ph: (815) 844-6109

Reviews and Comments

Counselor in Pontiac, IL

Lauren Whitecotton, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109
Brittany Henson, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561
Tiffany Meints, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 E Torrance Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561
Sandra Boeckmann, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561
Meredith M Spraggon, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561
Katie Kennedy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561
Rhonda Looney, HS Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561

Joseph Vaughan, LCSW - Medicare Counselor in Pontiac, IL