| Shannon Renae Somers, | |
|
104 S 4th St, Ponca City, OK 74601-5329 | |
| (580) 382-4034 | |
| Not Available |
| Full Name | Shannon Renae Somers |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 104 S 4th St, Ponca City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205557303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R0128161 (Oklahoma) | Secondary |
| 363L00000X | Nurse Practitioner | 211628 (Oklahoma) | Primary |
| Entity Name | Oklahoma Infusion Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821796632 PECOS PAC ID: 2567837032 Enrollment ID: O20230414000993 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Renae Somers, 104 S 4th St, Ponca City, OK 74601-5329 Ph: () - | Shannon Renae Somers, 104 S 4th St, Ponca City, OK 74601-5329 Ph: (580) 382-4034 |
Amy Casey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 E Hartford Ave, Ponca City, OK 74601 Phone: 580-762-1911 | |
Courtney Dawn Beck, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 609 Virginia Ave, Ponca City, OK 74601 Phone: 580-767-1300 | |
Mrs. Orele Shananae Ferguson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 White Eagle Dr, Ponca City, OK 74601 Phone: 580-765-2501 Fax: 580-765-0984 | |
Mrs. Brenda Lee Peters, A.R.N.P. & C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 Fairview Ave Ste 100, Ponca City, OK 74601 Phone: 580-765-5569 Fax: 580-765-2020 | |
Mrs. Brittany Dawn Beier, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2101 N 14th St. #114, Ponca City, OK 74601 Phone: 580-762-1552 | |
Nicki Carriere, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2720 Homestead N, Ponca City, OK 74604 Phone: 580-304-6298 | |
Ashley Hesson, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 N 14th St, Ponca City, OK 74601 Phone: 580-765-0514 |