| Dr Anthony Chieffalo, MD | |
|
168 Rte. 171, S Woodstock, CT 06267-0366 | |
| (860) 928-7775 | |
| (860) 928-1397 |
| Full Name | Dr Anthony Chieffalo |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 42 Years |
| Location | 168 Rte. 171, S Woodstock, Connecticut |
| 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 |
|---|---|---|---|
| 1336155860 | NPI | - | NPPES |
| 1288952 | Medicaid | CT | |
| 50031 | Other | DE | HELTHNET |
| 0100288952CT01 | Other | CT | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 028895 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Day Kimball Hospital | Putnam, CT | Hospital |
| Hartford Hospital | Hartford, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Day Kimball Medical Group Inc | 1557514411 | 88 |
| Day Kimball Healthcare, Inc. | 5092773549 | 27 |
| Entity Name | Nes Medical Services Of Northern Connecticut, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447231865 PECOS PAC ID: 7315843968 Enrollment ID: O20040112000084 |
| Entity Name | Day Kimball Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649243478 PECOS PAC ID: 5092773549 Enrollment ID: O20041229001007 |
| Entity Name | Day Kimball Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376813972 PECOS PAC ID: 1557514411 Enrollment ID: O20130102000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Chieffalo, MD Po Box 366, S Woodstock, CT 06267-0366 Ph: (860) 928-7775 | Dr Anthony Chieffalo, MD 168 Rte. 171, S Woodstock, CT 06267-0366 Ph: (860) 928-7775 |
Dr. Gail Louise Dickinson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 168 Rte. 171, S Woodstock, CT 06267 Phone: 860-928-7775 Fax: 860-928-1397 |