Individual ProviderTenzing PhanthokInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179(706) 389-3875(706) 721-3813PECOS EnrollmentBased on the most recent information from CMS, provider Tenzing Phanthok is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1659765287Provider TypeIndividualFull NamePhanthok, TenzingCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date3/20/2015Last Updated12/17/2019Contact InformationPractice LocationPractice Address1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179Phone(706) 389-3875Fax(706) 389-3876Mailing LocationMailing Address1120 15th St Ste Bi1056, Augusta, GA 30912-0004Phone(706) 721-3813Fax(706) 721-9286Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense81013GeorgiaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer