Wallisa Tejarnette Vaughn, MD - Medicare Family Medicine in Norfolk, VA

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Wallisa Tejarnette Vaughn, MD is a medicare enrolled "Family Medicine" physician in Norfolk, Virginia. Her current practice location is 850 Kempsville Rd Ste 200a, Norfolk, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 261-5910.

Wallisa Tejarnette Vaughn is licensed to practice in Virginia (license number 0101255299) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992990238.

Contact Information

Wallisa Tejarnette Vaughn, MD
850 Kempsville Rd Ste 200a,
Norfolk, VA 23502-3920
(757) 261-5910
Not Available

Map and Direction




Physician's Profile

Full NameWallisa Tejarnette Vaughn
GenderFemale
SpecialityFamily Medicine
Location850 Kempsville Rd Ste 200a, Norfolk, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992990238
  • Provider Enumeration Date: 09/10/2007
  • Last Update Date: 01/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7618021502
  • Enrollment ID: I20170918002301

Medical Identifiers

Medical identifiers for Wallisa Tejarnette Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992990238NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101255299 (Virginia)Primary

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. Wallisa Tejarnette Vaughn allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861552721
PECOS PAC ID: 3779495858
Enrollment ID: O20031105000744
Entity NameBlue Ridge Behavioral Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437137734
PECOS PAC ID: 6709831522
Enrollment ID: O20050315000430
Entity NameMary Washington Healthcare Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295999852
PECOS PAC ID: 2769546530
Enrollment ID: O20090123000298
Entity NameJencare Neighborhood Medical New Market, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568756948
PECOS PAC ID: 2860652823
Enrollment ID: O20120328000803
Entity NameUniversal Health Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407117625
PECOS PAC ID: 5597912626
Enrollment ID: O20120824000538
Entity NameJencare Neighborhood Medical Center Virginia Beach Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770924789
PECOS PAC ID: 8921236167
Enrollment ID: O20140114001303
Entity NamePai Participant 1 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093371312
PECOS PAC ID: 8123351954
Enrollment ID: O20211208001934

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. Wallisa Tejarnette 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 AddressPractice Location Address
Wallisa Tejarnette Vaughn, MD
5060 Valley View Blvd Nw,
Roanoke, VA 24012-2038

Ph: (540) 278-1051		Wallisa Tejarnette Vaughn, MD
850 Kempsville Rd Ste 200a,
Norfolk, VA 23502-3920

Ph: (757) 261-5910

Reviews and Comments


Family Medicine Doctors in Norfolk, VA

Dr. Elizabeth Robledo, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 885 Kempsville Rd, Norfolk, VA 23502
Phone: 757-955-2828    
Angela Bryant, FNP-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502
Phone: 757-354-2885    Fax: 757-340-4278
Dr. Richard M. Whalen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 825 Fairfax Ave, Suite 118, Norfolk, VA 23507
Phone: 757-446-5955    Fax: 757-446-5196
Dr. Kristina Alexa Carney, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: Fleet Forces Command 1562 Mitscher Ave Suite 250, Norfolk, VA 23551
Phone: 757-836-3644    
Dr. John O Joyce, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1326 E Little Creek Rd, Norfolk, VA 23518
Phone: 757-583-6338    Fax: 757-531-9410
Sajuma Bhaju, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507
Phone: 757-388-3198    Fax: 757-686-0541
Mr. Levi James Bauer,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Granby St Apt 460, Norfolk, VA 23510
Phone: 407-756-5069    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.