Trey Ryan Roundtree, APRN-CRNA in Ardmore, OK - Medicare Certified Registered Nurse Anesthetist (crna)

Trey Ryan Roundtree, APRN-CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ardmore, Oklahoma. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Great Plains Anesthesia Pllc and his current practice location is 1011 14th Ave Nw, Ardmore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 223-5400.

Trey Ryan Roundtree is licensed to practice in Oklahoma (license number 99885) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245738145.

Contact Information

	Trey Ryan Roundtree, APRN-CRNA
	1011 14th Ave Nw, Ardmore, OK 73401-1828
	(580) 223-5400
	Not Available

Map and Direction

Provider's Profile

Full Name	Trey Ryan Roundtree
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	1011 14th Ave Nw, Ardmore, Oklahoma
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Trey Ryan Roundtree graduated from nursing school in 2018

NPI Data:

NPI Number: 1245738145
Provider Enumeration Date: 01/25/2018
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 8921368838
Enrollment ID: I20180213002783

Medical Identifiers

Medical identifiers for Trey Ryan Roundtree such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245738145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	99885 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Ardmore, Inc	Ardmore, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Great Plains Anesthesia Pllc	9133431935	13

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. Trey Ryan Roundtree allows following entities to bill medicare on his behalf.

Entity Name	Southern Oklahoma Surgical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699767210 PECOS PAC ID: 4082514708 Enrollment ID: O20040109000879

Entity Name	Great Plains Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285020362 PECOS PAC ID: 9133431935 Enrollment ID: O20150708001112

Entity Name	Western Oklahoma Anesthesia Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881102614 PECOS PAC ID: 4587924865 Enrollment ID: O20180206000663

Entity Name	Western Oklahoma Anesthesia Consultants Woodward Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427615731 PECOS PAC ID: 3779817960 Enrollment ID: O20190621000715

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. Trey Ryan Roundtree 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
Trey Ryan Roundtree, APRN-CRNA 729 Dolese Rd, Ardmore, OK 73401-7578 Ph: (580) 513-4732	Trey Ryan Roundtree, APRN-CRNA 1011 14th Ave Nw, Ardmore, OK 73401-1828 Ph: (580) 223-5400

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Ardmore, OK

Jason Michael Richardson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-226-1251
James F Fiala, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2412 N Commerce St, Ardmore, OK 73401 Phone: 580-226-5000 Fax: 580-226-5035
Jordyn Alexis Grant, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-223-5400
Sergio Gonzalez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-226-1251 Fax: 580-226-1254
Dolores Pasierb, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2412 North Commerce, Ardmore, OK 73401 Phone: 580-226-5000 Fax: 580-226-5035
Erin Salsman, CRNA-APRN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1012 14th Ave Nw, Ardmore, OK 73401 Phone: 580-272-0485 Fax: 580-332-5750

Trey Ryan Roundtree, APRN-CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Ardmore, OK