Melvin L Self Jr, CRNA in Greenwood, MS - Medicare Certified Registered Nurse Anesthetist (crna)

Melvin L Self Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Greenwood, Mississippi. He graduated from nursing school in 2006 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Lifelinc Anesthesia Pllc, Willow Anesthesia Services, Llc and his current practice location is 1401 River Rd, Greenwood, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 459-2613.

Melvin L Self Jr is licensed to practice in Mississippi (license number R855594) 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 1851575260.

Contact Information

	Melvin L Self Jr, CRNA
	1401 River Rd, Greenwood, MS 38930-4030
	(662) 459-2613
	(662) 459-1159

Map and Direction

Provider's Profile

Full Name	Melvin L Self Jr
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	20 Years
Location	1401 River Rd, Greenwood, Mississippi
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:

Melvin L Self Jr graduated from nursing school in 2006

NPI Data:

NPI Number: 1851575260
Provider Enumeration Date: 12/20/2007
Last Update Date: 12/20/2007

Medicare PECOS Information:

PECOS PAC ID: 4486725942
Enrollment ID: I20080611000612

Medical Identifiers

Medical identifiers for Melvin L Self Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851575260	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R855594 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Greenwood Leflore Hospital	Greenwood, MS	Hospital
Baptist Memorial Hospital North Ms	Oxford, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifelinc Anesthesia Pllc	0941347447	126
Willow Anesthesia Services, Llc	9234279183	34

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. Melvin L Self Jr allows following entities to bill medicare on his behalf.

Entity Name	Willow Anesthesia Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205169521 PECOS PAC ID: 9234279183 Enrollment ID: O20091228000308

Entity Name	Lifelinc Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277

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. Melvin L Self Jr 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
Melvin L Self Jr, CRNA Po Box 1410, Greenwood, MS 38935-1410 Ph: (662) 459-2613	Melvin L Self Jr, CRNA 1401 River Rd, Greenwood, MS 38930-4030 Ph: (662) 459-2613

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Greenwood, MS

George Weathers, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1401 River Rd, Greenwood, MS 38930 Phone: 662-459-2613 Fax: 662-459-1159
Mr. David Franklin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1401 River Rd, Greenwood, MS 38930 Phone: 662-459-2621 Fax: 662-459-1159
Lauren Elizabeth Pilgrim, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1401 River Rd, Greenwood, MS 38930 Phone: 662-459-7000
Mr. John A Moyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1401 River Rd, Greenwood, MS 38930 Phone: 662-459-2613 Fax: 662-459-1159
Joseph Lee Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1401 River Rd, Greenwood, MS 38930 Phone: 662-550-4299 Fax: 662-580-4324
Mr. William F Reid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2005 Hwy 82 West, Greenwood, MS 38930 Phone: 662-455-4523 Fax: 662-455-3790

Melvin L Self Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Greenwood, MS