Kaitlin Nicole Vaughan, PT, DPT in Fulton, MO - Medicare Physical Therapist Provider

Kaitlin Nicole Vaughan, PT, DPT is a medicare enrolled "Physical Therapist" provider in Fulton, Missouri. Her current practice location is 366 Country Meadow Ln, Fulton, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 642-7216.

Kaitlin Nicole Vaughan is licensed to practice in Missouri (license number 2025008447) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104621879.

Contact Information

	Kaitlin Nicole Vaughan, PT, DPT
	366 Country Meadow Ln, Fulton, MO 65251-5278
	(573) 642-7216
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kaitlin Nicole Vaughan
Gender	Female
Speciality	Physical Therapist
Location	366 Country Meadow Ln, Fulton, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104621879
Provider Enumeration Date: 02/17/2025
Last Update Date: 03/28/2025

Medicare PECOS Information:

PECOS PAC ID: 3577087501
Enrollment ID: I20250410003061

Medical Identifiers

Medical identifiers for Kaitlin Nicole Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104621879	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2025008447 (Missouri)	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. Kaitlin Nicole Vaughan allows following entities to bill medicare on her behalf.

Provider Name	Select Physical Therapy Holdings Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033179510 PECOS PAC ID: 9537076401 Enrollment ID: O20100130000234

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. Kaitlin Nicole 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 Address	Practice Location Address
Kaitlin Nicole Vaughan, PT, DPT 699 County Road 558, Bakersfield, MO 65609-8051 Ph: (636) 697-5745	Kaitlin Nicole Vaughan, PT, DPT 366 Country Meadow Ln, Fulton, MO 65251-5278 Ph: (573) 642-7216

Reviews and Comments

Physical Therapist in Fulton, MO

Katherine Berrey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 S Hospital Dr, Ste D, Fulton, MO 65251 Phone: 573-642-7216
Kimberly A Kritzer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 401 Gaylord Dr, Fulton, MO 65251 Phone: 573-642-8541 Fax: 573-642-8500
Anna Michelle Dubois, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 366 Country Meadow Ln, Fulton, MO 65251 Phone: 573-642-7216
Alyssa Toalson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2625 Fairway Dr, Suite C, Fulton, MO 65251 Phone: 573-592-7750 Fax: 573-592-7751
Kaylee Tagart, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 366 Country Meadow Ln, Fulton, MO 65251 Phone: 573-642-7216
Rachael Fletcher, PT, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 850 W Hospital Dr, Suite A, Fulton, MO 65251 Phone: 573-592-6592

Kaitlin Nicole Vaughan, PT, DPT - Medicare Physical Therapist in Fulton, MO