Mr Zachary O'hara Shelby Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Clarksdale, MS

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Mr Zachary O'hara Shelby Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Clarksdale, Mississippi. He graduated from nursing school in 1986 and has 39 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northwest Miss Regional Medical Center and his current practice location is 1970 Hospital Dr, Clarksdale, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 627-3211.

Mr Zachary O'hara Shelby Jr is licensed to practice in Tennessee (license number RN0000071864) 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 1770646077.

Contact Information

Mr Zachary O'hara Shelby Jr, CRNA
1970 Hospital Dr,
Clarksdale, MS 38614-7202
(662) 627-3211
Not Available

Map and Direction




Provider's Profile

Full NameMr Zachary O'hara Shelby Jr
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience39 Years
Location1970 Hospital Dr, Clarksdale, Mississippi
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:
  • Mr Zachary O'hara Shelby Jr graduated from nursing school in 1986
  NPI Data:
  • NPI Number: 1770646077
  • Provider Enumeration Date: 12/18/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0345343711
  • Enrollment ID: I20070306000390

Medical Identifiers

Medical identifiers for Mr Zachary O'hara Shelby Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770646077NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN0000071864 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwest Mississippi Medical CenterClarksdale, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwest Miss Regional Medical Center317396917713

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. Mr Zachary O'hara Shelby Jr allows following entities to bill medicare on his behalf.
Entity NameDelta Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609464619
PECOS PAC ID: 5597171645
Enrollment ID: O20210315002779
Entity NameDelta Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447818026
PECOS PAC ID: 9830593821
Enrollment ID: O20210812003936
Entity NameNorthwest Miss Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598458515
PECOS PAC ID: 3173969177
Enrollment ID: O20240610002576

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. Mr Zachary O'hara Shelby 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 AddressPractice Location Address
Mr Zachary O'hara Shelby Jr, CRNA
876 Dolan Rd,
Memphis, TN 38116-4008

Ph: (901) 332-8130		Mr Zachary O'hara Shelby Jr, CRNA
1970 Hospital Dr,
Clarksdale, MS 38614-7202

Ph: (662) 627-3211

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Clarksdale, MS

Mrs. Leatrice R Cowan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614
Phone: 662-624-3534    Fax: 662-621-5087
Sonya Kinnard,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614
Phone: 662-624-3211    
Lucius Lewis Jr., CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614
Phone: 662-624-3401    Fax: 662-627-5440
Mr. Alvin Ray Hamilton Jr., CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614
Phone: 662-624-3533    

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.