| Dr Wallace Carroll Vaughan Jr, MD | |
|
6980 Winton Blount Blvd, Montgomery, AL 36117-3556 | |
| (334) 277-0484 | |
| (334) 272-8877 |
| Full Name | Dr Wallace Carroll Vaughan Jr |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 43 Years |
| Location | 6980 Winton Blount Blvd, Montgomery, Alabama |
| 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 |
|---|---|---|---|
| 1104906510 | NPI | - | NPPES |
| 528701330 | Medicaid | AL | |
| 17143 | Other | BLUE CROSS | |
| 040002702 | Other | RR MCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 13438 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center East | Montgomery, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Alabama Ent Associates | 3870516180 | 2 |
| Entity Name | Central Alabama Ent Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124108535 PECOS PAC ID: 3870516180 Enrollment ID: O20060112000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wallace Carroll Vaughan Jr, MD 6980 Winton Blount Blvd, Montgomery, AL 36117-3556 Ph: (334) 277-0484 | Dr Wallace Carroll Vaughan Jr, MD 6980 Winton Blount Blvd, Montgomery, AL 36117-3556 Ph: (334) 277-0484 |
Charles E Morgan, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 6980 Winton Blount Blvd, Montgomery, AL 36117 Phone: 334-277-0484 | |
Andrew Hunter Ford, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1111 Olive St, Montgomery, AL 36106 Phone: 334-834-7221 Fax: 334-241-9848 | |
Dr. Neil Stronach, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1722 Pine St, Suite 804, Montgomery, AL 36106 Phone: 334-834-7221 Fax: 334-241-9848 | |
Dr. Aubrey Ayers Stabler Jr., M.D Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1722 Pine St, Suite 804, Montgomery, AL 36106 Phone: 334-834-7221 Fax: 334-241-9848 | |
Thomas Hilton Cawthon, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1722 Pine St, Suite 804, Montgomery, AL 36106 Phone: 334-834-7221 Fax: 334-241-9848 | |
James Noble Anderson Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1773 Platt Pl, Montgomery, AL 36117 Phone: 334-284-5470 Fax: 334-284-9714 |