| Sammy Dwight Vaught, MD | |
|
601 E Dixie Ave, Medical Plaza 901, Leesburg, FL 34748-5953 | |
| (352) 728-2404 | |
| (352) 787-7401 |
| Full Name | Sammy Dwight Vaught |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 32 Years |
| Location | 601 E Dixie Ave, Leesburg, Florida |
| 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 |
|---|---|---|---|
| 1619977220 | NPI | - | NPPES |
| 254405900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | ME76023 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Waterman | Tavares, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Ent And Fps, Pa | 1759380447 | 8 |
| Entity Name | Lake Ent & Fps, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629091996 PECOS PAC ID: 1759380447 Enrollment ID: O20061206000421 |
| Mailing Address | Practice Location Address |
|---|---|
| Sammy Dwight Vaught, MD 601 E Dixie Ave, Medical Plaza 901, Leesburg, FL 34748-5953 Ph: (352) 728-2404 | Sammy Dwight Vaught, MD 601 E Dixie Ave, Medical Plaza 901, Leesburg, FL 34748-5953 Ph: (352) 728-2404 |
Judith Carol Milstead, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 601 E Dixie Ave, Medical Plaza 901, Leesburg, FL 34748 Phone: 352-728-2404 Fax: 352-787-7401 | |
Dr. Euclid A Isbell Jr., M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 601 E Dixie Ave, Leesburg, FL 34748 Phone: 352-728-2404 Fax: 352-787-7401 | |
Dino Madonna, M.D Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 601 E Dixie Ave, Medical Plaza 901, Leesburg, FL 34748 Phone: 352-728-2404 Fax: 352-787-7401 | |
Dr. Jeffrey Einar Brink, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 601 E Dixie Ave Ste 901, Leesburg, FL 34748 Phone: 352-728-2404 Fax: 352-787-7401 |