Dr Andy John Tracy, CRNA, PHD is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bixby, Oklahoma. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Integral Anesthesia Llc, Northeastern Health System and his current practice location is
11106 S 108th East Pl, Bixby, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(608) 479-1452.
Dr Andy John Tracy is licensed to practice in Illinois (license number 209.006942) 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 1295923985.
Provider's Profile
Full Name | Dr Andy John Tracy |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 17 Years |
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Location | 11106 S 108th East Pl, Bixby, Oklahoma |
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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:
- Dr Andy John Tracy graduated from nursing school in 2007
NPI Data:
- NPI Number: 1295923985
- Provider Enumeration Date: 10/09/2007
- Last Update Date: 12/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 9032291851
- Enrollment ID: I20200304000765
Medical Identifiers
Medical identifiers for Dr Andy John Tracy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295923985 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0200X | Registered Nurse - Critical Care Medicine | RN 041-330738 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209.006942 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Integral Anesthesia Llc | 9638461973 | 28 |
Northeastern Health System | 1456255025 | 95 |
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. Dr Andy John Tracy allows following entities to bill medicare on his behalf.
Entity Name | Northeastern Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250 |
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Entity Name | Anesthesia Associates Of Oklahoma Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770891475 PECOS PAC ID: 7113100470 Enrollment ID: O20110323000735 |
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Entity Name | Integral Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881041515 PECOS PAC ID: 9638461973 Enrollment ID: O20160707001409 |
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Entity Name | Emergenchealth Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098 |
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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. Dr Andy John Tracy 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 |
Dr Andy John Tracy, CRNA, PHD 11106 S 108th East Pl, Bixby, OK 74008-2853 Ph: (608) 479-1452 | Dr Andy John Tracy, CRNA, PHD 11106 S 108th East Pl, Bixby, OK 74008-2853 Ph: (608) 479-1452 |
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