Tracey Lynn Whitney, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Wayne, IN

Tracey Lynn Whitney, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Wayne, Indiana. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Surgery One Anesthesia Llc and her current practice location is 5050 N Clinton St, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 484-8551.

Tracey Lynn Whitney is licensed to practice in Indiana (license number 28141092A) 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 1417292905.

Contact Information

Tracey Lynn Whitney, CRNA
5050 N Clinton St,
Fort Wayne, IN 46825-5886
(260) 484-8551
(260) 482-5060



Provider's Profile

Full NameTracey Lynn Whitney
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location5050 N Clinton St, Fort Wayne, Indiana
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:
  • Tracey Lynn Whitney graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1417292905
  • Provider Enumeration Date: 12/10/2012
  • Last Update Date: 10/30/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7315184603
  • Enrollment ID: I20130503000460

Medical Identifiers

Medical identifiers for Tracey Lynn Whitney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417292905NPI-NPPES
201131480MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 28141092A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Orthopaedic Hospital At Parkview North LlcFort wayne, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Surgery One Anesthesia Llc882035146332

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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. Tracey Lynn Whitney allows following entities to bill medicare on her behalf.
Entity NameSurgery One Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144724402
PECOS PAC ID: 8820351463
Enrollment ID: O20180413001005

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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. Tracey Lynn Whitney 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
Tracey Lynn Whitney, CRNA
5052 N Clinton St,
Fort Wayne, IN 46825-5822

Ph: (260) 484-8551
Tracey Lynn Whitney, CRNA
5050 N Clinton St,
Fort Wayne, IN 46825-5886

Ph: (260) 484-8551

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Nurse Anesthetist, Certified Registered Nurses in Fort Wayne, IN

Anthony Dzigbordi,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825
Phone: 260-484-8551    
Lisa A Tompa, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825
Phone: 260-484-8551    Fax: 260-482-5060
Nicole Borem Schickel, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804
Phone: 260-436-7875    
Benjamin Wisenbaker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804
Phone: 260-436-7875    
Blair John Walker, RN, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
Phone: 260-416-3000    
Lisa Osborne, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804
Phone: 260-436-7875    
Thomas George Merkler, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804
Phone: 260-436-7875    Fax: 260-432-9812

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