Dr Olivia Michelle Vaughan, DO - Medicare General Practice in Ellsworth Afb, SD

Dr Olivia Michelle Vaughan, DO is a medicare enrolled "General Practice" physician in Ellsworth Afb, South Dakota. Her current practice location is 2900 Doolittle Dr, Ellsworth Afb, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 385-3111.

Dr Olivia Michelle Vaughan is licensed to practice in Nebraska (license number 1286) 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 1952696858.

Contact Information

Dr Olivia Michelle Vaughan, DO
2900 Doolittle Dr,
Ellsworth Afb, SD 57706-4821
(605) 385-3111
Not Available



Physician's Profile

Full NameDr Olivia Michelle Vaughan
GenderFemale
SpecialityGeneral Practice
Location2900 Doolittle Dr, Ellsworth Afb, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952696858
  • Provider Enumeration Date: 06/20/2011
  • Last Update Date: 05/02/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1557593217
  • Enrollment ID: I20140410002018

Medical Identifiers

Medical identifiers for Dr Olivia Michelle Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952696858NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 1286 (Nebraska)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 Olivia Michelle 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 Olivia Michelle Vaughan, DO
2900 Doolittle Dr,
Ellsworth Afb, SD 57706-4821

Ph: () -
Dr Olivia Michelle Vaughan, DO
2900 Doolittle Dr,
Ellsworth Afb, SD 57706-4821

Ph: (605) 385-3111

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› Verified 9 days ago


General Practice Doctors in Ellsworth Afb, SD

Kevin Anderson, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706
Phone: 605-385-3332    
Maxwell Tuo Cheng, D.O.
General Practice
Medicare: Medicare Enrolled
Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706
Phone: 605-385-6700    

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