| Dr Carlos Alberto Enciso Chaves, MD | |
|
201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | |
| (860) 714-2750 | |
| (860) 714-8591 |
| Full Name | Dr Carlos Alberto Enciso Chaves |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 26 Years |
| Location | 201 Chestnut Hill Rd, Stafford Springs, 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 |
|---|---|---|---|
| 1669635645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 49483 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yale University | 9436061736 | 2389 |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Entity Name | Trinity Health Of New England Provider Network Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
| Entity Name | The Charlotte Hungerford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629075734 PECOS PAC ID: 4486557501 Enrollment ID: O20040128000183 |
| Entity Name | The Griffin Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184639973 PECOS PAC ID: 8921901984 Enrollment ID: O20040128000937 |
| Entity Name | Natchaug Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295811321 PECOS PAC ID: 5395648737 Enrollment ID: O20040202000008 |
| Entity Name | St. Vincent's Multispecialty Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043544489 PECOS PAC ID: 6204977218 Enrollment ID: O20100112000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carlos Alberto Enciso Chaves, MD 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 Ph: (860) 714-2750 | Dr Carlos Alberto Enciso Chaves, MD 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 Ph: (860) 714-2750 |
Dr. Tadeusz Rachwal, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 201 Chestnut Hill Rd, Jmh, Stafford Springs, CT 06076 Phone: 860-684-8290 Fax: 860-684-8179 |