Rolandine Vaughan, PAC - Medicare Physician Assistant in Dacula, GA

Rolandine Vaughan, PAC is a medicare enrolled "Physician Assistant" in Dacula, Georgia. She went to Eastern Virginia Medical School and graduated in 2008 and has 18 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 1862 Auburn Rd Ste 118-x1, Dacula, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 906-6985.

Rolandine Vaughan is licensed to practice in Indiana (license number 10004230A) 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 1225284367.

Contact Information

Rolandine Vaughan, PAC
1862 Auburn Rd Ste 118-x1,
Dacula, GA 30019-1676
(404) 906-6985
(678) 302-7377

Map and Direction




Provider's Profile

Full NameRolandine Vaughan
GenderFemale
SpecialityPhysician Assistant
Experience18 Years
Location1862 Auburn Rd Ste 118-x1, Dacula, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rolandine Vaughan attended and graduated from Eastern Virginia Medical School in 2008
  NPI Data:
  • NPI Number: 1225284367
  • Provider Enumeration Date: 08/08/2008
  • Last Update Date: 03/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0143396333
  • Enrollment ID: I20131001000280

Medical Identifiers

Medical identifiers for Rolandine Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225284367NPI-NPPES
00429217DMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0110002860 (Virginia)Secondary
363A00000XPhysician Assistant 005982 (Georgia)Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant 10004230A (Indiana)Primary
174400000XSpecialist 005982 (Georgia)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Southeast Permanente Medical Group6204829013823

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. Rolandine Vaughan allows following entities to bill medicare on her behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370
Entity NameAcs Primary Care Physicians - Southeast PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20040901000766
Entity NameAmerican Current Care PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710168117
PECOS PAC ID: 9739260019
Enrollment ID: O20080220000473

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. Rolandine 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 AddressPractice Location Address
Rolandine Vaughan, PAC
2084 Mitford Ct,
Dacula, GA 30019-2486

Ph: (678) 960-8953
Rolandine Vaughan, PAC
1862 Auburn Rd Ste 118-x1,
Dacula, GA 30019-1676

Ph: (404) 906-6985

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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