Melissa Petty, CRNA - Medicare Nurse Anesthetist, Certified Registered in Memphis, TN

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Melissa Petty, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Memphis, Tennessee. Her current practice location is 1265 Union Ave, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 725-5846.

Melissa Petty is licensed to practice in Tennessee (license number 22850) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891236972.

Contact Information

Melissa Petty, CRNA
1265 Union Ave,
Memphis, TN 38104-3415
(901) 725-5846
Not Available

Map and Direction




Provider's Profile

Full NameMelissa Petty
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1265 Union Ave, Memphis, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891236972
  • Provider Enumeration Date: 03/09/2017
  • Last Update Date: 01/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9739453556
  • Enrollment ID: I20170918002433

Medical Identifiers

Medical identifiers for Melissa Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891236972NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 183386 (Tennessee)Secondary
367500000XNurse Anesthetist, Certified Registered 901508 (Mississippi)Secondary
367500000XNurse Anesthetist, Certified Registered 22850 (Tennessee)Primary

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. Melissa Petty allows following entities to bill medicare on her behalf.
Entity NameSt Jude Childrens Research Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306335088
PECOS PAC ID: 7315133444
Enrollment ID: O20180821000139

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. Melissa Petty 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
Melissa Petty, CRNA
6060 Primacy Pkwy, Suite 241,
Memphis, TN 38119-5745

Ph: (901) 725-5846		Melissa Petty, CRNA
1265 Union Ave,
Memphis, TN 38104-3415

Ph: (901) 725-5846

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Memphis, TN

Tara Orr, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119
Phone: 901-682-2872    
Michael Fisher, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1265 Union Ave, Memphis, TN 38104
Phone: 901-725-5846    
Jessica Doran, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 877 Jefferson Ave, Memphis, TN 38103
Phone: 901-448-5893    Fax: 901-448-5893
Carman Hamm, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120
Phone: 901-725-5846    Fax: 901-726-4827
Kathleen B Weiman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120
Phone: 901-685-6150    Fax: 901-685-6454
Janet Laughlin, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6485 Poplar Ave, Memphis, TN 38119
Phone: 901-767-4014    
Jennifer Williams, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120
Phone: 901-725-5846    Fax: 901-726-4827

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.