Tracy Dickerson, CRNA in Oregon, OH - Medicare Certified Registered Nurse Anesthetist (crna)

Tracy Dickerson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oregon, Ohio. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Promedica Central Physicians and her current practice location is 2801 Bay Park Dr, Oregon, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 690-7900.

Tracy Dickerson is licensed to practice in Ohio (license number APRN.CRNA.10348) 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 1942453113.

Contact Information

	Tracy Dickerson, CRNA
	2801 Bay Park Dr, Oregon, OH 43616-4920
	(419) 690-7900
	(419) 697-7726

Map and Direction

Provider's Profile

Full Name	Tracy Dickerson
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	16 Years
Location	2801 Bay Park Dr, Oregon, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tracy Dickerson graduated from nursing school in 2008

NPI Data:

NPI Number: 1942453113
Provider Enumeration Date: 10/31/2008
Last Update Date: 02/04/2020

Medicare PECOS Information:

PECOS PAC ID: 3678638087
Enrollment ID: I20090219000159

Medical Identifiers

Medical identifiers for Tracy Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942453113	NPI	-	NPPES
P00689517	Other	OH	TRAVELERS RR MEDICARE
2940438	Medicaid	OH
PENDING	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN219439 (Ohio)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN.CRNA.10348 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bay Park Community Hospital	Oregon, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Promedica Central Physicians	2365348190	827

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. Tracy Dickerson allows following entities to bill medicare on her behalf.

Entity Name	Promedica Central Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226

Entity Name	Northstar Anesthesia Of Ohio Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417276429 PECOS PAC ID: 3173648300 Enrollment ID: O20100927000005

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. Tracy Dickerson 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 Address	Practice Location Address
Tracy Dickerson, CRNA 1 Seagate # 800, Toledo, OH 43604-1558 Ph: (419) 690-7900	Tracy Dickerson, CRNA 2801 Bay Park Dr, Oregon, OH 43616-4920 Ph: (419) 690-7900

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Oregon, OH

Linda M Grover, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2801 Bay Park Dr, Oregon, OH 43616 Phone: 419-690-7900 Fax: 419-697-7726
Ms. Kristine Anne Kribs, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2801 Bay Park Dr, Oregon, OH 43616 Phone: 419-690-7900 Fax: 419-697-7726
David Dixon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2801 Bay Park Dr, Department Of Surgery, Oregon, OH 43616 Phone: 419-690-7652 Fax: 419-697-7726
William J Hall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2801 Bay Park Dr, Oregon, OH 43616 Phone: 419-690-7653 Fax: 419-697-7726
Mr. Matthew Joseph Pawlaczyk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Navarre Ave, Oregon, OH 43616 Phone: 419-696-7200
Larry D. Stuckey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2740 Navarre Ave, Oregon, OH 43616 Phone: 419-693-4444
Timothy E Irvine, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2801 Bay Park Dr, Department Of Surgery, Oregon, OH 43616 Phone: 419-690-7653 Fax: 419-697-7726

Tracy Dickerson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Oregon, OH