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

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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 NameStorm Bradley Vaughn
GenderMale
SpecialityAnesthesiologist Assistant
Location11109 Parkview Plaza Dr, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1780179333NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant (* (Not Available))Secondary
367H00000XAnesthesiologist 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 NameAnesthesiology Associates Of Tallahassee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447232137
PECOS PAC ID: 3476446014
Enrollment ID: O20040206000050
Entity NameAdvanced Anesthesia Of Palm Beach County Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508199266
PECOS PAC ID: 6406991652
Enrollment ID: O20100921000416
Entity NameMiami Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821475179
PECOS PAC ID: 1355651837
Enrollment ID: O20151112002797
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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    
Mark D Schamber,
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
Emily Allan,
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
Brandon S Rentfrow,
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845
Phone: 260-425-6030    Fax: 260-425-6028
John Wesley Farver, AA-C
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
Ryan Shane Tighe,
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

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.