| Matthew Vaughn, PA-C | |
|
5196 Harkley Runyan Rd, Saint Cloud, FL 34771-9514 | |
| (407) 319-7859 | |
| Not Available |
| Full Name | Matthew Vaughn |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 5196 Harkley Runyan Rd, Saint Cloud, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679309959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | OSF Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Cermak Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518498393 PECOS PAC ID: 7113269242 Enrollment ID: O20190422000151 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Vaughn, PA-C 5196 Harkley Runyan Rd, Saint Cloud, FL 34771-9514 Ph: (407) 319-7859 | Matthew Vaughn, PA-C 5196 Harkley Runyan Rd, Saint Cloud, FL 34771-9514 Ph: (407) 319-7859 |
Miss Tonya K Politano, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2155 Nolte Rd, Saint Cloud, FL 34772 Phone: 407-846-9247 Fax: 407-846-4430 |
Richard Z Ordon, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Budinger Ave Ste C, Saint Cloud, FL 34769 Phone: 321-843-5851 Fax: 407-599-1691 |
Marcus Castillo, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3866 Spirited Cir, Saint Cloud, FL 34772 Phone: 407-414-2642 |
Sierra A Hobbs, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3100 17th St, Saint Cloud, FL 34769 Phone: 407-892-0009 Fax: 407-892-3285 |
Brenda Givargidze, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2090 Old Hickory Tree Rd Ste 107, Saint Cloud, FL 34772 Phone: 689-588-5588 |
Mr. James E Bradley Ii, RN, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4944 Oakway Dr, Saint Cloud, FL 34771 Phone: 904-885-5363 |
Susan K D Addario Yee, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2929 Fieldwood Cir, Saint Cloud, FL 34772 Phone: 407-751-0033 |