Ms Chloe Vaughn, MSW is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. Her current practice location is
2410 Se 121st Ave, Suite 216, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 335-5975.
Ms Chloe Vaughn is licensed to practice in Washington (license number LW61035823) 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 1992968341.
Healthcare Provider's Profile
Full Name | Ms Chloe Vaughn |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2410 Se 121st Ave, Portland, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992968341
- Provider Enumeration Date: 07/07/2008
- Last Update Date: 03/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 1850770272
- Enrollment ID: I20220615001493
Medical Identifiers
Medical identifiers for Ms Chloe Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992968341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LW61035823 (Washington) | Primary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
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. Ms Chloe Vaughn allows following entities to bill medicare on her behalf.
Entity Name | Legacy Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
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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. Ms Chloe 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 |
Ms Chloe Vaughn, MSW 2410 Se 121st Ave, Suite 216, Portland, OR 97216-4066 Ph: (503) 335-5975 | Ms Chloe Vaughn, MSW 2410 Se 121st Ave, Suite 216, Portland, OR 97216-4066 Ph: (503) 335-5975 |
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