Katherine Rose Vaughan, DDS - Medicare Dentist in Faribault, MN

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Katherine Rose Vaughan, DDS is a medicare enrolled "Dentist" provider in Faribault, Minnesota. Her current practice location is 400 4th St Nw, Faribault, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 384-6830.

Katherine Rose Vaughan is licensed to practice in Minnesota (license number D13579) 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 1619350006.

Contact Information

Katherine Rose Vaughan, DDS
400 4th St Nw,
Faribault, MN 55021-5089
(507) 384-6830
(651) 431-7757

Map and Direction




Healthcare Provider's Profile

Full NameKatherine Rose Vaughan
GenderFemale
SpecialityDentist
Location400 4th St Nw, Faribault, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619350006
  • Provider Enumeration Date: 07/02/2015
  • Last Update Date: 12/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4284050758
  • Enrollment ID: I20200813003401

Medical Identifiers

Medical identifiers for Katherine Rose Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619350006NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D13579 (Minnesota)Secondary
122300000XDentist D13579 (Minnesota)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. Katherine Rose Vaughan allows following entities to bill medicare on her behalf.
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417
Entity NameAnoka Metro Regional Treatment Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275585564
PECOS PAC ID: 9335135375
Enrollment ID: O20040423000711
Entity NameSouthern Cities Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437218740
PECOS PAC ID: 7517912991
Enrollment ID: O20050318000140

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. Katherine Rose 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 AddressPractice Location Address
Katherine Rose Vaughan, DDS
400 4th St Nw,
Faribault, MN 55021-5089

Ph: () -		Katherine Rose Vaughan, DDS
400 4th St Nw,
Faribault, MN 55021-5089

Ph: (507) 384-6830

Reviews and Comments


Dentist in Faribault, MN

Dr. Archana Kaustubh Alegaonkar,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 200 Western Ave Nw, Suite A3a, Faribault, MN 55021
Phone: 507-333-2028    Fax: 507-333-2038
Teddy J Erickson,
Dentist
Medicare: Medicare Enrolled
Practice Location: 1575 20th Street Northwest, Suite 102, Faribault, MN 55021
Phone: 507-334-6433    Fax: 507-334-0044
Dr. Nicholas Wiese, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 417 Lincoln Ave Nw, Faribault, MN 55021
Phone: 507-332-7608    
Thomas Jason Nomeland, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 412 Heritage Pl, Faribault, MN 55021
Phone: 507-334-7595    
Linda M Maytan, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 400 4th St Nw, Suite A3a, Faribault, MN 55021
Phone: 507-384-6830    Fax: 651-431-5575
Abigail Malmanger, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1575 20th St Nw Ste 102, Faribault, MN 55021
Phone: 507-334-6433    
Peter Jon Thurnau,
Dentist
Medicare: Medicare Enrolled
Practice Location: 1575 20th Street Northwest, Suite 102, Faribault, MN 55021
Phone: 507-334-6433    Fax: 507-334-0044

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.