Polly S Vaughan, CRNP in Hamilton, OH - Medicare Nurse Practitioner

Polly S Vaughan, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hamilton, Ohio. She graduated from nursing school in 2007 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kettering Independent Medical Group Inc, Family Service Association and her current practice location is 630 Eaton Ave # 2w, Hamilton, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 867-2433.

Polly S Vaughan is licensed to practice in Ohio (license number APRN.CNP.09551) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063609287.

Contact Information

	Polly S Vaughan, CRNP
	630 Eaton Ave # 2w, Hamilton, OH 45013
	(513) 867-2433
	(513) 867-2499

Map and Direction

Provider's Profile

Full Name	Polly S Vaughan
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	630 Eaton Ave # 2w, Hamilton, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Polly S Vaughan graduated from nursing school in 2007

NPI Data:

NPI Number: 1063609287
Provider Enumeration Date: 10/02/2007
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 3375625320
Enrollment ID: I20080129000682

Medical Identifiers

Medical identifiers for Polly S Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063609287	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	NP-09551 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN.CNP.09551 (Ohio)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN.CNP.09551 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kettering Medical Center - Sycamore	Miamisburg, OH	Hospital
Soin Medical Center	Beaver creek, OH	Hospital

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. Polly S Vaughan allows following entities to bill medicare on her behalf.

Entity Name	Family Service Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063442390 PECOS PAC ID: 7618948423 Enrollment ID: O20040804001481

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

Entity Name	Fairway Behavioral Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780328344 PECOS PAC ID: 1951787332 Enrollment ID: O20221008000405

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. Polly S Vaughan 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
Polly S Vaughan, CRNP 6100 Gurneyville Rd, Wilmington, OH 45177-6508 Ph: (937) 313-4400	Polly S Vaughan, CRNP 630 Eaton Ave # 2w, Hamilton, OH 45013 Ph: (513) 867-2433

Reviews and Comments

Nurse Practitioner Nurses in Hamilton, OH

Joann Miniard, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 95 Winston Dr, Hamilton, OH 45013 Phone: 513-284-9904
Tamara Grace Adams, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 High St, Hamilton, OH 45011 Phone: 513-603-8200 Fax: 513-981-4226
Geraldine Thomas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 727 Shultz Dr, Hamilton, OH 45013 Phone: 513-863-8371
Julie Michelle Treadway, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 S 2nd St, Hamilton, OH 45011 Phone: 513-454-1111
Daniel Gallagher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 N Brookwood Ave, Hamilton, OH 45013 Phone: 513-981-4203
Heather Cypher, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3103 Dixie Hwy, Hamilton, OH 45015 Phone: 513-892-4673
Dr. Alfred Ndah, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1057 Saint Clair Ave, Hamilton, OH 45015 Phone: 610-972-5947

Polly S Vaughan, CRNP - Medicare Nurse Practitioner in Hamilton, OH