| Stephen V Headley, DO | |
|
3283 Willowcreek Rd, Portage, IN 46368-5054 | |
| (219) 764-8439 | |
| (219) 764-8463 |
| Full Name | Stephen V Headley |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3283 Willowcreek Rd, Portage, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679663603 | NPI | - | NPPES |
| 036105186 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036105186 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 02005477A (Indiana) | Primary |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen V Headley, DO Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Stephen V Headley, DO 3283 Willowcreek Rd, Portage, IN 46368-5054 Ph: (219) 764-8439 |
Dr. Adrienne Baksinski, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3283 Willowcreek Rd, Portage, IN 46368 Phone: 219-764-8439 Fax: 249-764-8463 | |
Gretchen M Haney, MSN, APRN, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 | |
Dr. Frank X Weilnhammer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-5380 | |
Dr. Inderjit K Kapoor, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6375 Us Highway 6, Portage, IN 46368 Phone: 219-762-3196 Fax: 219-763-6438 | |
Dr. Shane David Bush, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3630 Willowcreek Rd, Portage, IN 46368 Phone: 219-364-3700 | |
Julijana Obetkovska, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 | |
Dr. Shreyas Arvind Desai, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2640 Hamstrom Rd, Portage, IN 46368 Phone: 219-762-9523 Fax: 219-763-3120 |