| Dr Taylor B Vaughan, MD | |
|
2890 Tricom St, North Charleston, SC 29406-9171 | |
| (843) 797-6600 | |
| (843) 820-1440 |
| Full Name | Dr Taylor B Vaughan |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 15 Years |
| Location | 2890 Tricom St, North Charleston, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467770131 | NPI | - | NPPES |
| GP4871 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 32566 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trident Medical Center | Charleston, SC | Hospital |
| Roper St Francis Hospital-berkely Inc | Moncks corner, SC | Hospital |
| Roper Hospital | Charleston, SC | Hospital |
| East Cooper Medical Center | Mount pleasant, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Palmetto Adult And Childrens Urology Pa | 1254400021 | 6 |
| Entity Name | Palmetto Adult And Childrens Urology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467440644 PECOS PAC ID: 1254400021 Enrollment ID: O20080520000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Taylor B Vaughan, MD 2890 Tricom St, North Charleston, SC 29406-9171 Ph: (843) 797-6600 | Dr Taylor B Vaughan, MD 2890 Tricom St, North Charleston, SC 29406-9171 Ph: (843) 797-6600 |
Dr. Nelson Randolph Ploch, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2890 Tricom Street, North Charleston, SC 29406 Phone: 843-797-6600 Fax: 843-820-1440 | |
Dr. Samuel Walker Nickles, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2890 Tricom St, North Charleston, SC 29406 Phone: 843-797-6600 Fax: 843-820-1440 | |
Dr. Frederick James Goulding, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2890 Tricom Street, North Charleston, SC 29406 Phone: 843-797-6600 Fax: 843-820-1440 | |
Dr. Theodore Edward Brisson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2890 Tricom Street, North Charleston, SC 29406 Phone: 843-797-6600 Fax: 843-820-1440 | |
Dr. Kelly Elaine Shaffer, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2687 Lake Park Dr, North Charleston, SC 29406 Phone: 843-572-1010 Fax: 843-569-1719 | |
Dr. Marshall Scott Wingo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2687 Lake Park Dr, North Charleston, SC 29406 Phone: 843-572-1010 Fax: 843-569-1719 |