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

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 18 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



Provider's Profile

Full NameMelvin L Self Jr
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience18 Years
Location1401 River Rd, Greenwood, 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:
  • 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.
IdentifierTypeStateIssuer
1851575260NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R855594 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Greenwood Leflore HospitalGreenwood, MSHospital
Baptist Memorial Hospital North MsOxford, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifelinc Anesthesia Pllc0941347447144
Willow Anesthesia Services, Llc923427918328

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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. Melvin L Self Jr allows following entities to bill medicare on his behalf.
Entity NameWillow Anesthesia Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205169521
PECOS PAC ID: 9234279183
Enrollment ID: O20091228000308

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Entity NameLifelinc Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801021464
PECOS PAC ID: 0941347447
Enrollment ID: O20130522000277

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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. 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 AddressPractice 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

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Nurse Anesthetist, Certified Registered Nurses in Greenwood, MS

George Weathers, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1401 River Rd, Greenwood, MS 38930
Phone: 662-459-2613    Fax: 662-459-1159
Mr. David Franklin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
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
Mrs. Mary L. Carnaggio, 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
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

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