Justin Chaz Malone, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tupelo, MS

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Justin Chaz Malone, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tupelo, Mississippi. He graduated from nursing school in 2019 and has 5 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, North Mississippi Medical Center Inc and his current practice location is 830 S Gloster St, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 377-4394.

Justin Chaz Malone is licensed to practice in Mississippi (license number 901581) 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 1710537592.

Contact Information

Justin Chaz Malone, CRNA
830 S Gloster St,
Tupelo, MS 38801-4934
(662) 377-4394
Not Available

Map and Direction




Provider's Profile

Full NameJustin Chaz Malone
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience5 Years
Location830 S Gloster St, Tupelo, 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:
  • Justin Chaz Malone graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1710537592
  • Provider Enumeration Date: 09/13/2019
  • Last Update Date: 09/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0648502823
  • Enrollment ID: I20191022001394

Medical Identifiers

Medical identifiers for Justin Chaz Malone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710537592NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 901581 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Memorial Hospital Union CountyNew albany, MSHospital
North Mississippi Medical CenterTupelo, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifelinc Anesthesia Pllc0941347447121
North Mississippi Medical Center Inc9931010600285

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. Justin Chaz Malone allows following entities to bill medicare on his behalf.
Entity NameNorth Mississippi Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972608347
PECOS PAC ID: 9931010600
Enrollment ID: O20040413000541
Entity NameTupelo Anesthesia Group, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558390443
PECOS PAC ID: 4587566344
Enrollment ID: O20040508000197
Entity NameClay County Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578670972
PECOS PAC ID: 4789649609
Enrollment ID: O20041119000718
Entity NameLifelinc Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801021464
PECOS PAC ID: 0941347447
Enrollment ID: O20130522000277
Entity NameDhs Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184147431
PECOS PAC ID: 5395017479
Enrollment ID: O20170824001148

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. Justin Chaz Malone 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
Justin Chaz Malone, CRNA
Po Box 3294,
Tupelo, MS 38803-3294

Ph: () -		Justin Chaz Malone, CRNA
830 S Gloster St,
Tupelo, MS 38801-4934

Ph: (662) 377-4394

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Tupelo, MS

Lauren Elizabeth Abel, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 662-377-4394    Fax: 662-377-7045
Sarah Cotton Ashmore, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 830 South Gloster, Tupelo, MS 38801
Phone: 662-377-4394    Fax: 662-377-7045
Mr. Bradley W Jones, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 662-377-4394    Fax: 662-377-7045
Lauren H. Cook, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 662-377-4394    Fax: 662-377-7045
Shannon D Barber, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 830 South Gloster, Tupelo, MS 38801
Phone: 662-377-4394    Fax: 662-377-7045
Jennifer M Little, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 830 South Gloster, Tupelo, MS 38801
Phone: 662-377-4394    Fax: 662-377-7045
Donald R Carter, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 830 South Gloster, Tupelo, MS 38801
Phone: 662-377-4394    Fax: 662-377-7045

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.