Mark Hastings Neer, PA-C
Individual provider Active NPI Medical Physician Assistant · Stroud, OK
NPI 1477580249 · NPPES record last updated Feb 7, 2014
Key facts
- NPI
- 1477580249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 1271 (OK)
- Practice address
- 2308-B West Highway 66
Stroud, OK 74079-6729 - Phone
- (918) 968-4469
- Fax
- (918) 968-1618
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190404001591 | WI | Practitioner - Physician Assistant | 1557388873 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshfield Clinic Inc | Current |
Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current |
Accepting new patients | |
| Mount Desert Island Hospital | Past | Accepting new patients | |
| Rha Stroud Inc | Past | Accepting new patients | |
| Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care | Past | Accepting new patients | |
| Carter Professional Care, Corp | Past | Accepting new patients | |
| TSG Physicians Group | Past | Accepting new patients |
Locations
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1271 | OK | Yes |
Addresses
Primary practice location
2308-B West Highway 66
Stroud, OK 74079-6729
Mailing address
PO Box 849
Shawnee, OK 74802-0849
Phone (918) 968-4469
Other providers in Stroud, OK
- Timothy Dean Moore
- Amber Dawn Morgan
- Ashlee Dawn Morgan
- Aislinn Mae Munson
- John Daniel Neal
- Terri L Neer
- One Cura Family Clinic-Stroud, Inc.
- Denice Ann Ouellette
- Samantha Pleets
- Quality Home Medical Equipment, LLC
All providers in Stroud, OK · Medical Physician Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.