| Ray Shofner, CRNA | |
|
300 Rockefeller Dr, Muskogee, OK 74401-5075 | |
| (405) 947-5557 | |
| (405) 948-6507 |
| Full Name | Ray Shofner |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 300 Rockefeller Dr, Muskogee, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336241728 | NPI | - | NPPES |
| 731521875001 | Other | OK | BC/BS OF OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0033822 (Oklahoma) | Primary |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Ray Shofner, CRNA Po Box 1664, Muskogee, OK 74402-1664 Ph: (405) 947-5557 | Ray Shofner, CRNA 300 Rockefeller Dr, Muskogee, OK 74401-5075 Ph: (405) 947-5557 |
James R Patterson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Rockefeller Dr, Muskogee, OK 74401 Phone: 918-684-2557 Fax: 405-948-6507 | |
Rustico Bernardino Ramos, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-683-3261 | |
Mr. Bill Harry Brashears, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-577-3000 | |
Mr. Brian Neal Stephens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 Rockefeller Dr, Muskogee, OK 74401 Phone: 918-684-2279 |