Annette L Headley MD LLC
NPI 1568772242ActiveOrganization· Dermatology· Mystic, CT
Dermatology in Mystic, Connecticut, registered in NPPES in October 2010. The authorized official on file is Annette L. Headley, MD, Proprietor/Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568772242 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 15, 2010 |
| Last updated in NPPES | Nov 9, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 034245 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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