Martin Vaughn, CRNA in Poplar Bluff, MO - Medicare Certified Registered Nurse Anesthetist (crna)

Martin Vaughn, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Poplar Bluff, Missouri. He graduated from nursing school in 2001 and has 25 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Lifelinc Anesthesia V, P.a. and his current practice location is 2620 N Westwood Blvd, Poplar Bluff, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 785-7721.

Martin Vaughn is licensed to practice in Arkansas (license number C001525) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003025826.

Contact Information

	Martin Vaughn, CRNA
	2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396
	(573) 785-7721
	Not Available

Map and Direction

Provider's Profile

Full Name	Martin Vaughn
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	25 Years
Location	2620 N Westwood Blvd, Poplar Bluff, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Martin Vaughn graduated from nursing school in 2001

NPI Data:

NPI Number: 1003025826
Provider Enumeration Date: 05/21/2007
Last Update Date: 01/15/2026

Medicare PECOS Information:

PECOS PAC ID: 5395795942
Enrollment ID: I20050316000946

Medical Identifiers

Medical identifiers for Martin Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003025826	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2005030753 (Missouri)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	C001525 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital Jonesboro, Inc.	Jonesboro, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifelinc Anesthesia V, P.a.	8921359712	41

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. Martin Vaughn allows following entities to bill medicare on his behalf.

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

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. Martin 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 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

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Poplar Bluff, MO

Ms. Shirley A Jautz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 221 Physicians Park, Poplar Bluff, MO 63901 Phone: 573-727-9080
Joshua Ryan Morse, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2000
Shane D Faltys, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-718-2710
Timothy Paul Kordick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-686-4111
Roger Dean Faltys, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-727-2295
Mr. Richard Leroy Crayton, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-7721
Donald Foust, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 219 Physicians Park, Poplar Bluff, MO 63901 Phone: 573-686-5550

Martin Vaughn, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Poplar Bluff, MO