Renae Vaughn, RN, MSN, ARNP-C is a medicare enrolled "Clinical Nurse Specialist - Oncology" in Palm Coast, Florida. She graduated from nursing school in 1999 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Florida Cancer Specialists And Research Institute, Llc and her current practice location is
61 Memorial Medical Pkwy Ste 2812, Palm Coast, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 586-1860.
Renae Vaughn is licensed to practice in Florida (license number APRN9495960) 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 1518923093.
Provider's Profile
| Full Name | Renae Vaughn |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 27 Years |
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| Location | 61 Memorial Medical Pkwy Ste 2812, Palm Coast, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Renae Vaughn graduated from nursing school in 1999
NPI Data:
- NPI Number: 1518923093
- Provider Enumeration Date: 04/25/2006
- Last Update Date: 07/29/2026
Medicare PECOS Information:
- PECOS PAC ID: 0749227924
- Enrollment ID: I20220103000288
Medical Identifiers
Medical identifiers for Renae Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518923093 | NPI | - | NPPES |
| 112979900 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 4704167219 (Michigan) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | A3669 (South Carolina) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | APRN9495960 (Florida) | Secondary |
| 364SX0200X | Clinical Nurse Specialist - Oncology | APRN9495960 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Florida Cancer Specialists And Research Institute, Llc | 2567356058 | 464 |
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. Renae Vaughn allows following entities to bill medicare on her behalf.
| Entity Name | Florida Cancer Specialists & Research Institute, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760590962
PECOS PAC ID: 2567356058
Enrollment ID: O20040216000091 |
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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. Renae 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 |
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Renae Vaughn, RN, MSN, ARNP-C
Po Box 102222,
Atlanta, GA 30368-2222
Ph: (239) 274-8200 | Renae Vaughn, RN, MSN, ARNP-C
61 Memorial Medical Pkwy Ste 2812,
Palm Coast, FL 32164-5999
Ph: (386) 586-1860 |
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