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

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 NameTrey Ryan Roundtree
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location1011 14th Ave Nw, Ardmore, Oklahoma
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1245738145NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 99885 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital Ardmore, IncArdmore, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Great Plains Anesthesia Pllc913343193514

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 NameSouthern Oklahoma Surgical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699767210
PECOS PAC ID: 4082514708
Enrollment ID: O20040109000879
Entity NameGreat Plains Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285020362
PECOS PAC ID: 9133431935
Enrollment ID: O20150708001112
Entity NameWestern Oklahoma Anesthesia Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881102614
PECOS PAC ID: 4587924865
Enrollment ID: O20180206000663
Entity NameWestern Oklahoma Anesthesia Consultants Woodward Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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
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
Jaclyn Suzanne Potts, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2002 12th Ave Nw Ste C, Ardmore, OK 73401
Phone: 405-715-3610    

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.