Mr Wally Glendale Vaughn Jr, MA CCC-SLP in Goldsboro, NC - Medicare Speech-Language Pathologist Provider

Mr Wally Glendale Vaughn Jr, MA CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Goldsboro, North Carolina. His current practice location is 3800 Wayne Memorial Dr, Apt B7, Goldsboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 378-2905.

Mr Wally Glendale Vaughn Jr is licensed to practice in North Carolina (license number 8169) 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 1740405299.

Contact Information

	Mr Wally Glendale Vaughn Jr, MA CCC-SLP
	3800 Wayne Memorial Dr, Apt B7, Goldsboro, NC 27534-7379
	(803) 378-2905
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Wally Glendale Vaughn Jr
Gender	Male
Speciality	Speech-language Pathologist
Location	3800 Wayne Memorial Dr, Goldsboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740405299
Provider Enumeration Date: 04/17/2007
Last Update Date: 11/07/2014

Medicare PECOS Information:

PECOS PAC ID: 4789020355
Enrollment ID: I20240306002290

Medical Identifiers

Medical identifiers for Mr Wally Glendale Vaughn Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740405299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	Secondary
235Z00000X	Speech-language Pathologist	8169 (North Carolina)	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. Mr Wally Glendale Vaughn Jr allows following entities to bill medicare on his behalf.

Provider Name	Coastal Speech Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750782462 PECOS PAC ID: 5092024323 Enrollment ID: O20151027001658

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. Mr Wally Glendale Vaughn Jr 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
Mr Wally Glendale Vaughn Jr, MA CCC-SLP 3800 Wayne Memorial Dr, Apt B7, Goldsboro, NC 27534-7379 Ph: (803) 378-2905	Mr Wally Glendale Vaughn Jr, MA CCC-SLP 3800 Wayne Memorial Dr, Apt B7, Goldsboro, NC 27534-7379 Ph: (803) 378-2905

Reviews and Comments

Speech-Language Pathologist in Goldsboro, NC

Auntie Ms Speech Services Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 118 W Mulberry St, D, Goldsboro, NC 27530 Phone: 919-920-9884 Fax: 855-854-4447
Elissa Alexander, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2401 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-736-2121
Better Speech And Language Center Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3888 E Ash St, Goldsboro, NC 27534 Phone: 919-583-5375 Fax: 919-583-5235
Mr. Jordan Avery Price, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1506 Wayne Memorial Dr Ste C, Goldsboro, NC 27534 Phone: 910-298-2331
Vivian C Costa, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 627 Deer Acres Dr, Goldsboro, NC 27530 Phone: 919-734-6649 Fax: 919-734-6649
Mrs. Penelope Boyette Ragan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 205 Glen Oak Dr, Goldsboro, NC 27534 Phone: 919-734-1773 Fax: 919-580-0023
Brenda A. Taylor Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 627 Deer Acres Dr, Goldsboro, NC 27530 Phone: 919-734-6649 Fax: 919-734-6649

Mr Wally Glendale Vaughn Jr, MA CCC-SLP - Medicare Speech-Language Pathologist in Goldsboro, NC