Raven Joesine Neatherlin, is a
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry physician based in Idabel, Oklahoma. Raven Joesine Neatherlin is licensed to practice in Oklahoma (license number 360400) and her current practice location is 2000 E Lincoln Rd, Idabel, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 286-6639.
NPI number for Raven Joesine Neatherlin is 1548960222 and her current mailing address is 3980 Holly Creek Rd, Broken Bow, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548960222.
Physician's Profile
Full Name | Raven Joesine Neatherlin |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
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Location | 2000 E Lincoln Rd, Idabel, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548960222
- Provider Enumeration Date: 03/09/2023
- Last Update Date: 03/09/2023
Medical Identifiers
Medical identifiers for Raven Joesine Neatherlin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548960222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | 360400 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raven Joesine Neatherlin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Raven Joesine Neatherlin, 3980 Holly Creek Rd, Broken Bow, OK 74728-6366 Ph: (580) 516-1835 | Raven Joesine Neatherlin, 2000 E Lincoln Rd, Idabel, OK 74745-7353 Ph: (580) 286-6639 |
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