| 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 | 37 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 |
|---|---|---|
| Hospitalist Medicine Physicians Of Georgia - Tcs, Pc | 3971024910 | 75 |
| 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 |
| Entity Name | Hospitalist Medicine Physicians Of Georgia - Tcs, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033926191 PECOS PAC ID: 3971024910 Enrollment ID: O20250306003415 |
| 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: Medicare Enrolled 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: Not Enrolled in Medicare Practice Location: 616 19th St, Columbus, GA 31901 Phone: 706-494-4262 | |
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 | |
Jennifer Dixon, AA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 334-279-1450 Fax: 334-395-4110 |