Enrique J Tello, MD | |
60 Washington Ave, Suite 304, Hamden, CT 06518-3271 | |
(203) 281-2890 | |
(203) 281-2896 |
Full Name | Enrique J Tello |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 27 Years |
Location | 60 Washington Ave, Hamden, 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 |
---|---|---|---|
1154319416 | NPI | - | NPPES |
260004862 | Other | CT | MEDICARE ID PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 040565 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spectrum Psychiatric Group Pc | 1254328610 | 16 |
Entity Name | Spectrum Psychiatric Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558420653 PECOS PAC ID: 1254328610 Enrollment ID: O20040428000039 |
Mailing Address | Practice Location Address |
---|---|
Enrique J Tello, MD 60 Washington Ave, Suite 304, Hamden, CT 06518-3271 Ph: (203) 281-2890 | Enrique J Tello, MD 60 Washington Ave, Suite 304, Hamden, CT 06518-3271 Ph: (203) 281-2890 |
Samuel Leon Bridgers, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2080 Whitney Ave, Suite 280, Hamden, CT 06518 Phone: 203-248-6200 Fax: 203-248-5479 | |
George Davis Gammon, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 33 Edgehill Ter, Hamden, CT 06517 Phone: 203-865-6540 | |
Dr. Parkavi Chellappa, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9102 Town Walk Dr, Hamden, CT 06518 Phone: 520-437-1634 | |
Ezra Eh Griffith, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 95 Circular Ave, Hamden, CT 06514 Phone: 203-288-6253 Fax: 203-288-0948 | |
Brian Keyes, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1400 Whitney Ave, Hamden, CT 06517 Phone: 203-248-2116 Fax: 203-287-9815 | |
Lisa Fillmore, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 60 Washington Ave, Suite 304, Hamden, CT 06518 Phone: 203-281-2890 Fax: 203-281-2896 |