Dr Lenise Andrea Cummings-vaughn, MD - Medicare Geriatric Medicine in Saint Louis, MO

Dr Lenise Andrea Cummings-vaughn, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Saint Louis, Missouri. She went to Saint Louis University School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Geriatric Medicine. She is a member of the group practice Washington University and her current practice location is 4921 Parkview Pl, Dept Im, Ste 5c, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 286-2700.

Dr Lenise Andrea Cummings-vaughn is licensed to practice in Missouri (license number 2010025559) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336301613.

Contact Information

Dr Lenise Andrea Cummings-vaughn, MD
4921 Parkview Pl, Dept Im, Ste 5c,
Saint Louis, MO 63110-1032
(314) 286-2700
(314) 286-2701

Map and Direction




Physician's Profile

Full NameDr Lenise Andrea Cummings-vaughn
GenderFemale
SpecialityGeriatric Medicine
Experience26 Years
Location4921 Parkview Pl, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lenise Andrea Cummings-vaughn attended and graduated from Saint Louis University School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1336301613
  • Provider Enumeration Date: 06/27/2008
  • Last Update Date: 04/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6709072945
  • Enrollment ID: I20101130000396

Medical Identifiers

Medical identifiers for Dr Lenise Andrea Cummings-vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336301613NPI-NPPES
204400105MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 2010025559 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bjc Home Care ServicesSaint louis, MOHome health agency
Heartland Hospice ServicesSaint louis, MOHospice
Barnes Jewish HospitalSaint louis, MOHospital
Barnes-jewish West County HospitalCreve coeur, MOHospital
Missouri Baptist Medical CenterTown and country, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Washington University98300087702506

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. Dr Lenise Andrea Cummings-vaughn allows following entities to bill medicare on her behalf.
Entity NameWashington University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992746903
PECOS PAC ID: 9830008770
Enrollment ID: O20031119000372

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. Dr Lenise Andrea Cummings-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 AddressPractice Location Address
Dr Lenise Andrea Cummings-vaughn, MD
Po Box 60352,
Saint Louis, MO 63160-0352

Ph: (314) 286-2700
Dr Lenise Andrea Cummings-vaughn, MD
4921 Parkview Pl, Dept Im, Ste 5c,
Saint Louis, MO 63110-1032

Ph: (314) 286-2700

Reviews and Comments


Internal Medicine Doctors in Saint Louis, MO

Dr. Isik Turker, MD
Geriatric Medicine
Medicare: Medicare Enrolled
Practice Location: 4921 Parkview Pl, Div Im Cardiology, Ste 8b, Saint Louis, MO 63110
Phone: 314-362-1291    Fax: 314-362-4278
Conor Mccartney, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106
Phone: 314-652-4100    
Dr. Faris Adam Bakeer, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110
Phone: 314-362-1700    Fax: 314-362-9878
Rehan Rais, M.D. M.B.,B.S.
Geriatric Medicine
Medicare: Medicare Enrolled
Practice Location: 660 S Euclid Ave, Saint Louis, MO 63110
Phone: 314-362-5000    
Nathan Farkas, M.D.
Geriatric Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110
Phone: 314-362-1930    
Dr. Nicole Foley, M.D.
Geriatric Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110
Phone: 314-362-5000    
Soumojit Ghosh,
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3660 Vista Ave, Saint Louis, MO 63110
Phone: 314-977-6100    Fax: 314-977-6164

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.