Dr Stephen T Higgins, MD - Medicare Pediatrics in Chester, PA

Dr Stephen T Higgins, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Chester, Pennsylvania. His current practice location is 1 Medical Center Blvd, Chester, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 447-6707.

Dr Stephen T Higgins is licensed to practice in Pennsylvania (license number MD046358L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518004571.

Contact Information

Dr Stephen T Higgins, MD
1 Medical Center Blvd,
Chester, PA 19013-3902
(610) 447-6707
(610) 447-6719

Map and Direction




Physician's Profile

Full NameDr Stephen T Higgins
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location1 Medical Center Blvd, Chester, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518004571
  • Provider Enumeration Date: 01/31/2007
  • Last Update Date: 07/09/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5890982276
  • Enrollment ID: I20101210000646

Medical Identifiers

Medical identifiers for Dr Stephen T Higgins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518004571NPI-NPPES
001549578MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine MD046358L (Pennsylvania)Primary

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. Dr Stephen T Higgins allows following entities to bill medicare on his behalf.
Entity NameProspect Health Access Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568819084
PECOS PAC ID: 5698065142
Enrollment ID: O20160613000737

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 Stephen T Higgins 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
Dr Stephen T Higgins, MD
1 Medical Center Blvd,
Chester, PA 19013-3902

Ph: (610) 447-6707
Dr Stephen T Higgins, MD
1 Medical Center Blvd,
Chester, PA 19013-3902

Ph: (610) 447-6707

Reviews and Comments


Pediatrics Doctors in Chester, PA

Dr. Helen Mccarthy, DO
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Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Center Blvd, Pob1, Suite402, Chester, PA 19013
Phone: 610-447-6680    Fax: 610-447-6677
Anjali Srivastava, M.D., M.B.A.
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Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Center Blvd, Crozer Pediatrics, Pob 1, Suite 205, Chester, PA 19013
Phone: 610-619-7410    Fax: 610-876-8483
Shobhana Sathish, MD
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Medicare: Medicare Enrolled
Practice Location: 1 Medical Center Blvd, Pob1 Suite 402, Chester, PA 19013
Phone: 610-447-6680    Fax: 610-447-6677
Mrs. Ashley Nicole Henderson, M.D.
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Medicare: Medicare Enrolled
Practice Location: 30 Medical Center Boulevard, Suite #205, Chester, PA 19013
Phone: 610-619-7410    
Amber Christine Baisz, M.D.
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Medicare: Medicare Enrolled
Practice Location: 1 Medical Center Blvd, Crozer Pediatrics, 1 Pob, Suite 205, Chester, PA 19013
Phone: 610-619-7410    Fax: 610-876-8483
Salud Urtula Tiro, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 125 E 9th St, Chester, PA 19013
Phone: 610-872-6131    Fax: 610-872-5128
Dr. Ashwini Mallappa, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Center Blvd, Pob1, Suite 402, Chester, PA 19013
Phone: 610-447-6680    Fax: 610-447-6677

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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