Dr Phyllis Reid Headley, MD in New Fairfield, CT - Medicare General Practice

Dr Phyllis Reid Headley, MD is a medicare enrolled "General Practice" physician in New Fairfield, Connecticut. Her current practice location is 23 Eastview Dr, New Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 746-9143.

Dr Phyllis Reid Headley is licensed to practice in Connecticut (license number 22213) 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 1245367317.

Contact Information

	Dr Phyllis Reid Headley, MD
	23 Eastview Dr, New Fairfield, CT 06812-5019
	(203) 746-9143
	(203) 746-9152

Physician's Profile

Full Name	Dr Phyllis Reid Headley
Gender	Female
Speciality	General Practice
Location	23 Eastview Dr, New Fairfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245367317
Provider Enumeration Date: 02/27/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6507083417
Enrollment ID: I20140815001138

Medical Identifiers

Medical identifiers for Dr Phyllis Reid Headley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245367317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	22213 (Connecticut)	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 Phyllis Reid Headley 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
Dr Phyllis Reid Headley, MD 23 Eastview Dr, New Fairfield, CT 06812-5019 Ph: (203) 746-9143	Dr Phyllis Reid Headley, MD 23 Eastview Dr, New Fairfield, CT 06812-5019 Ph: (203) 746-9143

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Dr Phyllis Reid Headley, MD - Medicare General Practice in New Fairfield, CT