Dr Shanele Mcgowan Vaughn, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Oak Lawn, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2010 and has 14 years of diverse experience with area of expertise as Neurology. Her current practice location is
5571 W 95th St, Oak Lawn, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 972-9695.
Dr Shanele Mcgowan Vaughn is licensed to practice in Illinois (license number 036136261) 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 1902194822.
Physician's Profile
Full Name | Dr Shanele Mcgowan Vaughn |
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Gender | Female |
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Speciality | Neurology |
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Experience | 14 Years |
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Location | 5571 W 95th St, Oak Lawn, Illinois |
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Accepts Medicare Assignments | Yes. 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 Shanele Mcgowan Vaughn attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2010
NPI Data:
- NPI Number: 1902194822
- Provider Enumeration Date: 07/12/2011
- Last Update Date: 04/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688961675
- Enrollment ID: I20161019002618
Medical Identifiers
Medical identifiers for Dr Shanele Mcgowan Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902194822 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | 036136261 (Illinois) | Secondary |
2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | 036136261 (Illinois) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 036136261 (Illinois) | Primary |
Medical Facilities Affiliation
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 Shanele Mcgowan Vaughn allows following entities to bill medicare on her behalf.
Entity Name | Windy City Pain Relief, S.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023586617 PECOS PAC ID: 1153667860 Enrollment ID: O20190116001867 |
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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. Dr Shanele Mcgowan 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 |
Dr Shanele Mcgowan Vaughn, MD Po Box 16008, Chicago, IL 60616-0001 Ph: (708) 972-9695 | Dr Shanele Mcgowan Vaughn, MD 5571 W 95th St, Oak Lawn, IL 60453-2356 Ph: (708) 972-9695 |
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