| Dr Gail Louise Dickinson, MD | |
|
168 Rte. 171, S Woodstock, CT 06267-0366 | |
| (860) 928-7775 | |
| (860) 928-1397 |
| Full Name | Dr Gail Louise Dickinson |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 168 Rte. 171, S Woodstock, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336155118 | NPI | - | NPPES |
| 1326132 | Medicaid | CT | |
| 30169 | Other | CT | HEALTHNET |
| 010032613CT01 | Other | CT | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 032613 (Connecticut) | Primary |
| 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 Gail Louise Dickinson, MD Po Box 366, S Woodstock, CT 06267-0366 Ph: (860) 928-7775 | Dr Gail Louise Dickinson, MD 168 Rte. 171, S Woodstock, CT 06267-0366 Ph: (860) 928-7775 |
Dr. Anthony Chieffalo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 168 Rte. 171, S Woodstock, CT 06267 Phone: 860-928-7775 Fax: 860-928-1397 |