Dr Randy T Vaughan, DDS - Medicare Dentist in Charleston, SC

Dr Randy T Vaughan, DDS is a medicare enrolled "Dentist - General Practice" provider in Charleston, South Carolina. His current practice location is 109 Bee St, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 577-5011.

Dr Randy T Vaughan is licensed to practice in Illinois (license number 019-019582) 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 1407057037.

Contact Information

Dr Randy T Vaughan, DDS
109 Bee St,
Charleston, SC 29401-5703
(843) 577-5011
Not Available



Healthcare Provider's Profile

Full NameDr Randy T Vaughan
GenderMale
SpecialityDentist - General Practice
Location109 Bee St, Charleston, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407057037
  • Provider Enumeration Date: 05/30/2007
  • Last Update Date: 08/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4082806161
  • Enrollment ID: I20190814000049

Medical Identifiers

Medical identifiers for Dr Randy T Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407057037NPI-NPPES
36-3902095OtherILTAX I.D. NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 019-019582 (Illinois)Primary

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. Dr Randy T 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 AddressPractice Location Address
Dr Randy T Vaughan, DDS
109 Bee St,
Charleston, SC 29401-5703

Ph: (843) 577-5011
Dr Randy T Vaughan, DDS
109 Bee St,
Charleston, SC 29401-5703

Ph: (843) 577-5011

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› Verified 9 days ago


Dentist in Charleston, SC

Dr. Mary Victoria Tatum, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 92 Courtenay Dr, Charleston, SC 29403
Phone: 843-577-6112    Fax: 843-937-0200
Adam M Clark, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1416 Ashley River Rd, Atlantic Aesthetics, Charleston, SC 29407
Phone: 843-769-0488    Fax: 843-769-0428
Dr. James Randall Marshall, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 29 Bee Street, Dc 500, Charleston, SC 29425
Phone: 843-792-1904    Fax: 843-792-2212
Dr. Fabio Rizzante, DDS, MSC, PHD, MBA
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 29 Bee Street, Charleston, SC 29425
Phone: 734-489-2834    
Dr. James Elliott Gregory Jr., DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1812 Wallace School Rd, Charleston, SC 29407
Phone: 843-571-4411    
Dr. Theodore D Ravenel V, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 173 Ashley Ave, Charleston, SC 29425
Phone: 843-792-3661    
Dr. Robert Louis Morrow Sr., DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 18 A Leinbach Dr., Charleston, SC 29407
Phone: 843-795-3339    

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