| Ornusa Teerasukjinda, MD | |
|
129 N Washington St, Sumter, SC 29150-4949 | |
| (803) 774-1788 | |
| (803) 744-9113 |
| Full Name | Ornusa Teerasukjinda |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 129 N Washington St, Sumter, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457647760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36656 (South Carolina) | Secondary |
| 207R00000X | Internal Medicine | M-2060 (Guam) | Secondary |
| 208M00000X | Hospitalist | M-2060 (Guam) | Primary |
| Entity Name | Guam Healthcare Development Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326447939 PECOS PAC ID: 9234351776 Enrollment ID: O20150326000266 |
| Mailing Address | Practice Location Address |
|---|---|
| Ornusa Teerasukjinda, MD Po Box 402145, Atlanta, GA 30384-2145 Ph: (803) 296-7303 | Ornusa Teerasukjinda, MD 129 N Washington St, Sumter, SC 29150-4949 Ph: (803) 774-1788 |
Dr. Terry Anthony Godfrey, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-9680 | |
Adam Marcus Sebasi, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-434-6771 Fax: 803-434-3955 | |
Dr. Suwarat Wongjittraporn, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-771-1788 Fax: 803-774-9113 | |
Abhishek Malkan, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-9680 Fax: 803-434-3955 | |
Guy R Bibeau, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-778-5248 |