Timothy P Vaughn, CRNA, APNP in Eau Claire, WI - Medicare Nurse Anesthetist, Certified Registered

Timothy P Vaughn, CRNA, APNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Eau Claire, Wisconsin. His current practice location is 900 W Clairemont Ave, Eau Claire, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 717-4121.

Timothy P Vaughn is licensed to practice in Wisconsin (license number 2820-33) 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 1871576009.

Contact Information

	Timothy P Vaughn, CRNA, APNP
	900 W Clairemont Ave, Eau Claire, WI 54701-6122
	(715) 717-4121
	Not Available

Map and Direction

Provider's Profile

Full Name	Timothy P Vaughn
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	900 W Clairemont Ave, Eau Claire, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871576009
Provider Enumeration Date: 11/22/2005
Last Update Date: 03/28/2024

Medicare PECOS Information:

PECOS PAC ID: 9537156898
Enrollment ID: I20040428000883

Medical Identifiers

Medical identifiers for Timothy P Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871576009	NPI	-	NPPES
43309500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	89142030 (Wisconsin)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	2820-33 (Wisconsin)	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. Timothy P Vaughn allows following entities to bill medicare on his behalf.

Entity Name	Independent Surgery Center Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1922316835 PECOS PAC ID: 8527249002 Enrollment ID: O20110217000285

Entity Name	North American Partners In Anesthesia Wisconsin Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720733454 PECOS PAC ID: 8729475447 Enrollment ID: O20220428000422

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. Timothy P 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
Timothy P Vaughn, CRNA, APNP 1436 Clearwater Ridge Ct, Eau Claire, WI 54703-3794 Ph: (608) 469-4672	Timothy P Vaughn, CRNA, APNP 900 W Clairemont Ave, Eau Claire, WI 54701-6122 Ph: (715) 717-4121

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Eau Claire, WI

Kathy L Mcnally, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1221 Whipple St, Eau Claire, WI 54703 Phone: 715-838-3311
Kimberly S Mertens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Whipple St, Eau Claire, WI 54703 Phone: 715-838-3311
Jean J Jasienski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Whipple St, Eau Claire, WI 54703 Phone: 715-838-5222
Seth E Bollinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2116 Craig Rd, Eau Claire, WI 54701 Phone: 715-858-4500
Andrea J Anderson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1221 Whipple St, Eau Claire, WI 54703 Phone: 715-838-3311
Tasha Jo Hay, DNAP, ARPN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222
Shelley L Kadlec, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1221 Whipple St, Eau Claire, WI 54703 Phone: 715-838-3311

Timothy P Vaughn, CRNA, APNP - Medicare Nurse Anesthetist, Certified Registered in Eau Claire, WI