| 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 | 40 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 | 36 |
| 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 |
| 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: Accepting Medicare Assignments 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 |