| Grant Roesler, CRNA | |
|
1400 Bryan Drive, Durant, OK 74702 | |
| (580) 931-3312 | |
| Not Available |
| Full Name | Grant Roesler |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1400 Bryan Drive, Durant, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| Entity Name | Carteret County General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760479331 PECOS PAC ID: 7517877517 Enrollment ID: O20040901001048 |
| 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: 941-360-1566 | |
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 |