| Mark Hastings Neer, PA-C | |
|
2308-b West Highway 66, Stroud, OK 74079-6729 | |
| (918) 968-4469 | |
| (918) 968-1618 |
| Full Name | Mark Hastings Neer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 2308-b West Highway 66, Stroud, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477580249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1271 (Oklahoma) | Primary |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Hastings Neer, PA-C Po Box 849, Shawnee, OK 74802-0849 Ph: (918) 968-4469 | Mark Hastings Neer, PA-C 2308-b West Highway 66, Stroud, OK 74079-6729 Ph: (918) 968-4469 |
Kathy Song, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 356110 E 930 Rd, Stroud, OK 74079 Phone: 918-968-9531 | |
Ms. Terri L Neer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2308b W Highway 66, Stroud, OK 74079 Phone: 918-968-3571 |