Amanda Nicole Vaughan, DNAP CRNA - Medicare Nurse Anesthetist, Certified Registered in Charleston, WV

Amanda Nicole Vaughan, DNAP CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charleston, West Virginia. Her current practice location is 501 Morris St, Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 388-5432.

Amanda Nicole Vaughan is licensed to practice in West Virginia (license number 116903) 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 1538898002.

Contact Information

Amanda Nicole Vaughan, DNAP CRNA
501 Morris St,
Charleston, WV 25301-1326
(304) 388-5432
Not Available



Provider's Profile

Full NameAmanda Nicole Vaughan
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location501 Morris St, Charleston, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538898002
  • Provider Enumeration Date: 06/08/2022
  • Last Update Date: 08/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7416301114
  • Enrollment ID: I20230928004051

Medical Identifiers

Medical identifiers for Amanda Nicole Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538898002NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 116903 (West Virginia)Primary
2255A2300XSpecialist/technologist - Athletic Trainer (* (Not Available))Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Amanda Nicole Vaughan allows following entities to bill medicare on her behalf.
Entity NameCharleston Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124248752
PECOS PAC ID: 3375441637
Enrollment ID: O20031223000426

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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. Amanda 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 AddressPractice Location Address
Amanda Nicole Vaughan, DNAP CRNA
501 Morris St,
Charleston, WV 25301-1326

Ph: (304) 388-5432
Amanda Nicole Vaughan, DNAP CRNA
501 Morris St,
Charleston, WV 25301-1326

Ph: (304) 388-5432

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Nurse Anesthetist, Certified Registered Nurses in Charleston, WV

Sandra R Miles, CRNA, RN, BSN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 501 Morris St, Charleston, WV 25301
Phone: 304-388-5432    
Mrs. Hope Halstead Webb, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302
Phone: 304-388-2470    
Victoria J Kitts,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Mccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-9556    Fax: 304-388-9582
Meg Adair Jackson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave S. E., Charleston, WV 25304
Phone: 304-388-9556    
Tiffany D. Dutton, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Dept. Of Surgery, Charleston, WV 25304
Phone: 304-388-5503    Fax: 304-388-9852
Jennifer D Valdez,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-5432    
Melinda M. Knotts, APRN-CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-5503    

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