| Mr Ian Michael Hester, CAA | |
|
901 18th St E, Tifton, GA 31794-3648 | |
| (229) 382-7120 | |
| Not Available |
| Full Name | Mr Ian Michael Hester |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 15 Years |
| Location | 901 18th St E, Tifton, 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 |
|---|---|---|---|
| 1861710089 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tift Regional Medical Center | Tifton, GA | Hospital |
| Memorial University Medical Center | Savannah, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tift Regional Health System Inc | 2062745169 | 262 |
| Se Georgia Anesthesia, Llc | 8426466137 | 106 |
| 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 |
| Entity Name | Tift Regional Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409 |
| Entity Name | Se Georgia Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518542919 PECOS PAC ID: 8426466137 Enrollment ID: O20210419001856 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ian Michael Hester, CAA 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 382-7120 | Mr Ian Michael Hester, CAA 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 382-7120 |
Lacey Jackson Landon, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120 | |
Clinton Jeffery Brown, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6208 Fax: 229-353-7722 | |
Mr. Manuel Chavez Jr., CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-7050 | |
Logan Balkcom, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120 |