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.
Physician's Profile
Full Name | Dr Phyllis Reid Headley |
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Gender | Female |
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Speciality | General Practice |
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Location | 23 Eastview Dr, New Fairfield, Connecticut |
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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: 05/04/2024
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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