Adam Boyd Vaughn, in Jackson, TN - Medicare Anesthesiology

Adam Boyd Vaughn, is a medicare enrolled "Anesthesiology - Critical Care Medicine" in Jackson, Tennessee. His current practice location is 620 Skyline Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 541-5000.

Adam Boyd Vaughn is licensed to practice in Tennessee (license number 5572) 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 1003515271.

Contact Information

	Adam Boyd Vaughn,
	620 Skyline Dr, Jackson, TN 38301-3923
	(731) 541-5000
	Not Available

Provider's Profile

Full Name	Adam Boyd Vaughn
Gender	Male
Speciality	Anesthesiology - Critical Care Medicine
Location	620 Skyline Dr, Jackson, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003515271
Provider Enumeration Date: 02/27/2023
Last Update Date: 04/01/2024

Medicare PECOS Information:

PECOS PAC ID: 0345683462
Enrollment ID: I20240206002119

Medical Identifiers

Medical identifiers for Adam Boyd Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003515271	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
207LC0200X	Anesthesiology - Critical Care Medicine	5572 (Tennessee)	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. Adam Boyd 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
Adam Boyd Vaughn, 16 Woodwinds Cv, Jackson, TN 38305-7407 Ph: () -	Adam Boyd Vaughn, 620 Skyline Dr, Jackson, TN 38301-3923 Ph: (731) 541-5000

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Adam Boyd Vaughn, - Medicare Anesthesiology in Jackson, TN