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 | 10 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 |
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 | 1917 |
Forefront-rosenzweig Medical Services Professional Corporation | 1052697455 | 17 |
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 |
Entity Name | Forefront-johnson Medical Service Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194223933 PECOS PAC ID: 9133483662 Enrollment ID: O20220322000734 |
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 |
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 |