| Kimberly May Vaughn, CRNA | |
|
5450 Fort St, Trenton, MI 48183-4601 | |
| (734) 642-2903 | |
| Not Available |
| Full Name | Kimberly May Vaughn |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 5450 Fort St, Trenton, Michigan |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639695638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704253471 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Allegiance Health | Jackson, MI | Hospital |
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| W A Foote Memorial Hospital Inc | 0244136067 | 418 |
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 522 |
| Promedica Central Physicians | 2365348190 | 830 |
| Entity Name | W.a. Foote Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598776718 PECOS PAC ID: 0244136067 Enrollment ID: O20031215000624 |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly May Vaughn, CRNA 21931 Canterbury Ave, Grosse Ile, MI 48138-1308 Ph: () - | Kimberly May Vaughn, CRNA 5450 Fort St, Trenton, MI 48183-4601 Ph: (734) 642-2903 |
Paul Richard Emmons Iii, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3800 | |
David A Glancy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3666 Fax: 734-671-3185 | |
Ms. Rachelle M Francis, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3800 | |
Krystle Marie Dorobek, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5450 Fort Street, Anesthesia Department, Trenton, MI 48183 Phone: 734-671-6800 | |
Mrs. Joy Ann Girvan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4851 Gail Ct, Trenton, MI 48183 Phone: 734-671-9907 | |
Mrs. Joanna Pennywell, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2181 Sheraton Dr, Trenton, MI 48183 Phone: 313-401-6739 | |
Timothy Adamovich, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3883 |