| Jeromy Ryan Scofield, CRNA | |
|
1900 N 14th St, Ponca City, OK 74601-2035 | |
| (316) 519-3770 | |
| Not Available |
| Full Name | Jeromy Ryan Scofield |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 1900 N 14th St, Ponca City, 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 |
|---|---|---|---|
| 1700336393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 116018 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Joplin | Joplin, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Missouri Llc | 4082908249 | 66 |
| Entity Name | Northstar Anesthesia Of Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396191789 PECOS PAC ID: 4082908249 Enrollment ID: O20160810001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeromy Ryan Scofield, CRNA 6539 S Oliver St, Derby, KS 67037-9071 Ph: (316) 519-3770 | Jeromy Ryan Scofield, CRNA 1900 N 14th St, Ponca City, OK 74601-2035 Ph: (316) 519-3770 |
Christine E Williams, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1900 N 14th St, Ponca City, OK 74601 Phone: 580-765-3321 | |
Dr. Bryon Scott Ward, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 N 14th St, Ponca City, OK 74601 Phone: 580-765-3321 | |
Mrs. Mckenzie Paige Simpson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 N 14th St, Ponca City, OK 74601 Phone: 580-765-3321 | |
Michael Dean Withrow, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 Fairview Ave, Suite 50, Ponca City, OK 74601 Phone: 580-762-0695 | |
Stephen R Snyder, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1900 N 14th, Ponca City, OK 74602 Phone: 580-765-0428 | |
Mrs. Betty Louise Love, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3165 Joe Colby Rd, Ponca City, OK 74604 Phone: 580-762-5229 |