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

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 38 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Delta Health System 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 Name	Mr Zachary O'hara Shelby Jr
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	38 Years
Location	1970 Hospital Dr, Clarksdale, 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:

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.

Identifier	Type	State	Issuer
1770646077	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN0000071864 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwest Mississippi Medical Center	Clarksdale, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Delta Health System	9830593821	8

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 Name	Delta Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609464619 PECOS PAC ID: 5597171645 Enrollment ID: O20210315002779

Entity Name	Delta Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447818026 PECOS PAC ID: 9830593821 Enrollment ID: O20210812003936

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 Address	Practice 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

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