| Tyler Creighton Vaughn, MD | |
|
1024 S Lemay Ave, Fort Collins, CO 80524-3929 | |
| (970) 495-7000 | |
| (303) 306-7753 |
| Full Name | Tyler Creighton Vaughn |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1024 S Lemay Ave, Fort Collins, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083976864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301101188 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | DR.0060908 (Colorado) | Primary |
| Entity Name | Southwestern Michigan Emergency Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013021310 PECOS PAC ID: 1456265891 Enrollment ID: O20040211000832 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Creighton Vaughn, MD Po Box 912215, Denver, CO 80291-2215 Ph: (303) 306-7783 | Tyler Creighton Vaughn, MD 1024 S Lemay Ave, Fort Collins, CO 80524-3929 Ph: (970) 495-7000 |
Keasha Nohelani Kuhnen, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 303-306-7783 Fax: 303-306-7753 | |
Bryan K Beck, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2127 E Harmony Rd Ste 140, Fort Collins, CO 80528 Phone: 970-297-6250 Fax: 970-297-6260 | |
Thomas John Fralich, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 303-306-7783 Fax: 303-306-7753 | |
Jeremy Salsberg, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 970-495-7611 | |
Devin A. Rickett, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753 | |
Shelley W. Moore, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3519 Richmond Dr, Fort Collins, CO 80526 Phone: 970-204-0300 Fax: 970-221-5206 |