| Martin Vaughn, CRNA | |
|
2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | |
| (573) 785-7721 | |
| Not Available |
| Full Name | Martin Vaughn |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 2620 N Westwood Blvd, Poplar Bluff, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003025826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2005030753 (Missouri) | Primary |
| Entity Name | Arkansas Methodist Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861593816 PECOS PAC ID: 6608780119 Enrollment ID: O20031124000746 |
| Entity Name | Baxter County Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114178753 PECOS PAC ID: 0042389264 Enrollment ID: O20081212000269 |
| Entity Name | Lifelinc Anesthesia V, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063907244 PECOS PAC ID: 8921359712 Enrollment ID: O20180918001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Vaughn, CRNA 280 Cr 782, Jonesboro, AR 72401 Ph: (870) 972-9454 | Martin Vaughn, CRNA 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 Ph: (573) 785-7721 |
Ashley Talisa Christian, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 | |
Andrea Fay Walker, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 | |
Rebekah Hodgkiss, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 101 S Main St, Poplar Bluff, MO 63901 Phone: 573-686-5090 | |
Nicole Dunn, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 | |
Ramona Dugas, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 101 S Main St, Poplar Bluff, MO 63901 Phone: 573-686-5090 Fax: 573-785-0253 | |
Natalie Blair Howell, PMHNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 |