Traci Renee Wilmarth, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Oklahoma City, OK

Traci Renee Wilmarth, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oklahoma City, Oklahoma. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Digestive Disease Specialists Inc and her current practice location is 9713 Lakecrest Dr, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 213-5351.

Traci Renee Wilmarth is licensed to practice in Oklahoma (license number 100545) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003245481.

Contact Information

Traci Renee Wilmarth, CRNA
9713 Lakecrest Dr,
Oklahoma City, OK 73159-6777
(405) 213-5351
Not Available

Map and Direction




Provider's Profile

Full NameTraci Renee Wilmarth
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 Years
Location9713 Lakecrest Dr, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Traci Renee Wilmarth graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1003245481
  • Provider Enumeration Date: 11/05/2013
  • Last Update Date: 07/22/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6103053574
  • Enrollment ID: I20131210000339

Medical Identifiers

Medical identifiers for Traci Renee Wilmarth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003245481NPI-NPPES
1003245481MedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 100545 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Digestive Disease Specialists Inc731593927948

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Traci Renee Wilmarth allows following entities to bill medicare on her behalf.
Entity NameSouthern Plains Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962469098
PECOS PAC ID: 5991618969
Enrollment ID: O20031106000698
Entity NameDigestive Disease Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366489213
PECOS PAC ID: 7315939279
Enrollment ID: O20040331001151
Entity NameMoonlight Anesthesia Consulting, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669116455
PECOS PAC ID: 4688053408
Enrollment ID: O20220623003180

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Traci Renee Wilmarth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Traci Renee Wilmarth, CRNA
9713 Lakecrest Dr,
Oklahoma City, OK 73159-6777

Ph: (405) 213-5351
Traci Renee Wilmarth, CRNA
9713 Lakecrest Dr,
Oklahoma City, OK 73159-6777

Ph: (405) 213-5351

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Oklahoma City, OK

Paul Jason Bradley, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104
Phone: 405-271-4351    Fax: 405-271-8695
Michael Sean O'dell, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112
Phone: 405-604-6000    
Mr. Darryl W. Jones, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1044 Sw 44th St, Oklahoma City, OK 73109
Phone: 405-431-9921    
Ivan Kozhulenko, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 920 Stanton L Young Blvd Ste Wp1140, Oklahoma City, OK 73104
Phone: 405-271-4351    Fax: 405-271-8695
Jasilin Hall, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112
Phone: 405-604-6000    
Robert Lee Rawls, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9600 Broadway Ext, Oklahoma City, OK 73114
Phone: 405-715-3610    Fax: 405-715-3612

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.