Iwan Prayoga Sofjan, MD | |
3471 5th Ave, Suite 910, Pittsburgh, PA 15213-3215 | |
(412) 692-4503 | |
(412) 692-4515 |
Full Name | Iwan Prayoga Sofjan |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 12 Years |
Location | 3471 5th Ave, Pittsburgh, Pennsylvania |
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 |
---|---|---|---|
1750644001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 287280 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Putnam Hospital Center | Carmel, NY | Hospital |
Westchester Medical Center | Valhalla, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore - Lij Anesthesiology, Pc | 1153602453 | 796 |
Westchester Medical Center Advanced Physician Services Pc | 3173660776 | 734 |
Entity Name | Westchester Medical Center Advanced Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042 |
Entity Name | North Shore - Lij Anesthesiology, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
Mailing Address | Practice Location Address |
---|---|
Iwan Prayoga Sofjan, MD 3471 5th Ave, Suite 910, Pittsburgh, PA 15213-3215 Ph: (412) 692-4503 | Iwan Prayoga Sofjan, MD 3471 5th Ave, Suite 910, Pittsburgh, PA 15213-3215 Ph: (412) 692-4503 |
Dr. Eric Lowell Davidson, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 3550 Terrace Street, Dept. Of Ccm, University Of Pittsburgh, Pittsburgh, PA 15261 Phone: 412-647-3136 | |
Michelle Masnovi, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Upmc Department Of Anesthesiology, 3471 Fifth Avenue Kaufmann Bldg Suite 402, Pittsburgh, PA 15213 Phone: 412-692-4572 | |
Dr. Jacky Leong, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 200 Lothrop St, Pittsburgh, PA 15213 Phone: 412-647-2345 | |
Sruthi Rangu, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 320 E North Ave, Pittsburgh, PA 15212 Phone: 412-359-3166 | |
Igor Semenov, Anesthesiology Medicare: Medicare Enrolled Practice Location: 3705 5th Ave, One Children's Hospital Drive, Pittsburgh, PA 15213 Phone: 412-692-5260 | |
Susan Mcelroy, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4727 Friendship Ave, #240, Pittsburgh, PA 15224 Phone: 412-235-5870 | |
Joseph Talarico, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Lothrop St, Pittsburgh, PA 15213 Phone: 412-647-3260 |