Storm Bradley Vaughn, AA in Fort Wayne, IN - Medicare Anesthesiologist Assistant

Storm Bradley Vaughn, AA is a medicare enrolled "Anesthesiologist Assistant" in Fort Wayne, Indiana. His current practice location is 11109 Parkview Plaza Dr, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 425-6030.

Storm Bradley Vaughn is licensed to practice in Indiana (license number 75000046A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780179333.

Contact Information

	Storm Bradley Vaughn, AA
	11109 Parkview Plaza Dr, Fort Wayne, IN 46845
	(260) 425-6030
	(260) 425-6028

Map and Direction

Provider's Profile

Full Name	Storm Bradley Vaughn
Gender	Male
Speciality	Anesthesiologist Assistant
Location	11109 Parkview Plaza Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780179333
Provider Enumeration Date: 06/26/2018
Last Update Date: 09/09/2019

Medicare PECOS Information:

PECOS PAC ID: 5496092991
Enrollment ID: I20190122002321

Medical Identifiers

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

Identifier	Type	State	Issuer
1780179333	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	(* (Not Available))	Secondary
367H00000X	Anesthesiologist Assistant	75000046A (Indiana)	Primary

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. Storm Bradley Vaughn allows following entities to bill medicare on his behalf.

Entity Name	Anesthesiology Associates Of Tallahassee Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922772037 PECOS PAC ID: 3476446014 Enrollment ID: O20040206000050

Entity Name	Miami Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821475179 PECOS PAC ID: 1355651837 Enrollment ID: O20151112002797

Entity Name	Anesthesia Dynamics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117

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. Storm Bradley 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
Storm Bradley Vaughn, AA 3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703 Ph: () -	Storm Bradley Vaughn, AA 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Ph: (260) 425-6030

Reviews and Comments

Anesthesiologist Assistant Nurses in Fort Wayne, IN

Jenna Gloria Gardner, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875
Carter Filchak, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6027
Mrs. Kendra Elizabeth Dempsey, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3810 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6027
Yazan Adhami, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6027
Ryan Alexander Crouch, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6027
Mark D Schamber, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028
Sebah Abdulaziz, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028

Storm Bradley Vaughn, AA - Medicare Anesthesiologist Assistant in Fort Wayne, IN