Gerald Lane Devaughn, MD in Philadelphia, PA - Medicare Cardiovascular Disease (cardiology)

Gerald Lane Devaughn, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Philadelphia, Pennsylvania. He went to Hahnemann University College Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice University Of Penn - Medical Group and his current practice location is 5249 Cedar Ave, Suite A, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 471-1817.

Gerald Lane Devaughn is licensed to practice in Pennsylvania (license number MD024220E) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578636072.

Contact Information

	Gerald Lane Devaughn, MD
	5249 Cedar Ave, Suite A, Philadelphia, PA 19143-1524
	(215) 471-1817
	(215) 471-5089

Map and Direction

Physician's Profile

Full Name	Gerald Lane Devaughn
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	45 Years
Location	5249 Cedar Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gerald Lane Devaughn attended and graduated from Hahnemann University College Of Medicine in 1979

NPI Data:

NPI Number: 1578636072
Provider Enumeration Date: 11/15/2006
Last Update Date: 03/16/2016

Medicare PECOS Information:

PECOS PAC ID: 2567505225
Enrollment ID: I20100203000150

Medical Identifiers

Medical identifiers for Gerald Lane Devaughn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578636072	NPI	-	NPPES
0009504130009	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	MD024220E (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hospital Of Univ Of Pennsylvania	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Penn - Medical Group	6204730955	3031

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. Gerald Lane Devaughn allows following entities to bill medicare on his behalf.

Entity Name	Mercy Management Of Southeastern Pennsylvania
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427573492 PECOS PAC ID: 1456265974 Enrollment ID: O20040309000333

Entity Name	Cardiology Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205949955 PECOS PAC ID: 0840260923 Enrollment ID: O20040727001075

Entity Name	University Of Penn - Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093725145 PECOS PAC ID: 6204730955 Enrollment ID: O20150221000256

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. Gerald Lane Devaughn 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
Gerald Lane Devaughn, MD 5249 Cedar Ave, Suite A, Philadelphia, PA 19143-1524 Ph: (215) 471-1817	Gerald Lane Devaughn, MD 5249 Cedar Ave, Suite A, Philadelphia, PA 19143-1524 Ph: (215) 471-1817

Reviews and Comments

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Gerald Lane Devaughn, MD - Medicare Cardiovascular Disease (cardiology) in Philadelphia, PA