Jerrod Lee Vaughn, MD is a medicare enrolled "Surgery" physician in Stillwater, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 2007 and has 19 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Stillwater Medical Center Authority and his current practice location is
1301 W 6th Ave Ste 105, Stillwater Surgical Associates, Stillwater, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 533-1074.
Jerrod Lee Vaughn is licensed to practice in Oklahoma (license number 25846) 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 1326245804.
Physician's Profile
| Full Name | Jerrod Lee Vaughn |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 19 Years |
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| Location | 1301 W 6th Ave Ste 105, Stillwater, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jerrod Lee Vaughn attended and graduated from University Of Oklahoma College Of Medicine in 2007
NPI Data:
- NPI Number: 1326245804
- Provider Enumeration Date: 06/28/2007
- Last Update Date: 06/20/2013
Medicare PECOS Information:
- PECOS PAC ID: 7810130267
- Enrollment ID: I20130904000132
Medical Identifiers
Medical identifiers for Jerrod Lee Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326245804 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 25846 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Stillwater Medical Center Authority | 2365353794 | 155 |
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. Jerrod Lee Vaughn allows following entities to bill medicare on his behalf.
| Entity Name | Stillwater Medical Center Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558377135
PECOS PAC ID: 2365353794
Enrollment ID: O20040525001304 |
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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. Jerrod Lee 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 |
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Jerrod Lee Vaughn, MD
1301 W 6th Ave Ste 105, Stillwater Surgical Associates,
Stillwater, OK 74074-4376
Ph: (405) 533-1074 | Jerrod Lee Vaughn, MD
1301 W 6th Ave Ste 105, Stillwater Surgical Associates,
Stillwater, OK 74074-4376
Ph: (405) 533-1074 |
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