Stephen V Headley, DO in Portage, IN - Medicare Family Medicine

Stephen V Headley, DO is a medicare enrolled "Family Medicine" physician in Portage, Indiana. His current practice location is 3283 Willowcreek Rd, Portage, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 764-8439.

Stephen V Headley is licensed to practice in Indiana (license number 02005477A) 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 1679663603.

Contact Information

	Stephen V Headley, DO
	3283 Willowcreek Rd, Portage, IN 46368-5054
	(219) 764-8439
	(219) 764-8463

Map and Direction

Physician's Profile

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.

NPI Data:

NPI Number: 1679663603
Provider Enumeration Date: 10/13/2006
Last Update Date: 04/18/2023

Medicare PECOS Information:

PECOS PAC ID: 7618078643
Enrollment ID: I20180821002439

Medical Identifiers

Medical identifiers for Stephen V Headley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679663603	NPI	-	NPPES
036105186	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036105186 (Illinois)	Secondary
207Q00000X	Family Medicine	02005477A (Indiana)	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. Stephen V Headley allows following entities to bill medicare on his behalf.

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

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. Stephen V 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
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

Reviews and Comments

Family Medicine Doctors in Portage, IN

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
Kenneth A Black, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3630 Willowcreek Rd, Portage, IN 46368 Phone: 219-759-1157
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

Stephen V Headley, DO - Medicare Family Medicine in Portage, IN