Sugiarto Tjen, PA | |
710 Center St, Columbus, GA 31901-1527 | |
(706) 571-1374 | |
(706) 660-2686 |
Full Name | Sugiarto Tjen |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 35 Years |
Location | 710 Center St, Columbus, Georgia |
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 |
---|---|---|---|
1720072010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 0002104 (Georgia) | Secondary |
367H00000X | Anesthesiologist Assistant | 2104 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sentry Anesthesia Management, Llc | 9436372323 | 207 |
Entity Name | Amsol Anesthetists Of Georgia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649224775 PECOS PAC ID: 5193780955 Enrollment ID: O20041122000580 |
Entity Name | Sentry Anesthesia Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
Mailing Address | Practice Location Address |
---|---|
Sugiarto Tjen, PA Po Box 1380, Columbus, GA 31902-1307 Ph: (706) 571-1374 | Sugiarto Tjen, PA 710 Center St, Columbus, GA 31901-1527 Ph: (706) 571-1374 |
Amanda Culp Kowalewski, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Frist Ct, Columbus, GA 31909 Phone: 706-494-4384 | |
Wendy Hawkins Kennon, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 616 19th St, Columbus, GA 31901 Phone: 706-494-4262 | |
Joseph Ward Joines, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 616 19th St, Columbus, GA 31901 Phone: 706-494-4262 | |
Tobias W Bradshaw, PA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1374 Fax: 706-660-2686 | |
Frederick C Quirk Jr., Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 710 Center St, Columbus, GA 31901 Phone: 800-339-5844 | |
Jeb Ramsay Bridges, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 710 Center St, Columbus, GA 31901 Phone: 229-400-1743 | |
Andrew P Loftin, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 334-279-1450 |