| Craig Adrian Headley, NP | |
|
5 Cornwall Ln Apt 2x, Carle Place, NY 11514-1083 | |
| (516) 294-1728 | |
| Not Available |
| Full Name | Craig Adrian Headley |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 5 Cornwall Ln Apt 2x, Carle Place, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508263013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F401722 (New York) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 7761377 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Kennestone Hospital | Marietta, GA | Hospital |
| Wellstar Cobb Hospital | Austell, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Access Telecare Pllc | 7810204831 | 331 |
| Access Telecare Pllc | 7810204831 | 331 |
| Access Telecare Pllc | 7810204831 | 331 |
| Access Telecare Pllc | 7810204831 | 331 |
| Access Telecare Pllc | 7810204831 | 331 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Adrian Headley, NP 5 Cornwall Ln Apt 2x, Carle Place, NY 11514-1083 Ph: () - | Craig Adrian Headley, NP 5 Cornwall Ln Apt 2x, Carle Place, NY 11514-1083 Ph: (516) 294-1728 |
Marcia Olivia Deabreu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Old Country Rd, Carle Place, NY 11514 Phone: 516-725-4901 Fax: 844-720-2764 | |
Cristina Drumm, FNP, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Old Country Rd Ste 115, Carle Place, NY 11514 Phone: 347-886-3977 | |
Lila Michelle Bleich, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 181 Old Country Rd, Carle Place, NY 11514 Phone: 516-248-5437 | |
Mostafa Abu-hijlih, DNP, CRNP, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Old Country Rd Ste 116, Carle Place, NY 11514 Phone: 631-458-7834 |