Grant Roesler, CRNA | |
1400 Bryan Drive, Durant, OK 74702 | |
(580) 931-3312 | |
Not Available |
Full Name | Grant Roesler |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 38 Years |
Location | 1400 Bryan Drive, Durant, Oklahoma |
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 |
---|---|---|---|
1528019569 | NPI | - | NPPES |
200091550B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RNA193066 (Maine) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | R0076619 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Samaritan Medical Center | Watertown, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson Anesthesiologist Services Pc | 0840289260 | 38 |
Entity Name | Jefferson Anesthesiologist Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508818014 PECOS PAC ID: 0840289260 Enrollment ID: O20040512000314 |
Entity Name | Upstate New York Medical Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801553128 PECOS PAC ID: 8022405380 Enrollment ID: O20220505000559 |
Mailing Address | Practice Location Address |
---|---|
Grant Roesler, CRNA Po Box 1308, Durant, OK 74702-1308 Ph: (936) 676-8655 | Grant Roesler, CRNA 1400 Bryan Drive, Durant, OK 74702 Ph: (580) 931-3312 |
Sean Phillip Klufa, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 W University Blvd, Durant, OK 74701 Phone: 580-924-3080 | |
Blake Randall Ridgway, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1800 W University Blvd, Durant, OK 74701 Phone: 281-249-5954 | |
Mr. Robert James Austin Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 W University Blvd, Durant, OK 74701 Phone: 580-924-3080 |