Micah Roger Welborn, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Laurel, MS

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Micah Roger Welborn, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Laurel, Mississippi. He graduated from nursing school in 2013 and has 12 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, Sweet Dreams Anesthesia Pllc, Wayne General Hospital and his current practice location is 1220 Jefferson St, Laurel, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 426-4000.

Micah Roger Welborn is licensed to practice in Mississippi (license number 871238) 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 1407289283.

Contact Information

Micah Roger Welborn, CRNA
1220 Jefferson St,
Laurel, MS 39440-4355
(601) 426-4000
Not Available

Map and Direction




Provider's Profile

Full NameMicah Roger Welborn
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location1220 Jefferson St, Laurel, 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:
  • Micah Roger Welborn graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1407289283
  • Provider Enumeration Date: 08/15/2013
  • Last Update Date: 05/02/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0345470241
  • Enrollment ID: I20140219002002

Medical Identifiers

Medical identifiers for Micah Roger Welborn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407289283NPI-NPPES
08638062MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 871238 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wayne General HospitalWaynesboro, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifelinc Anesthesia Pllc0941347447121
Sweet Dreams Anesthesia Pllc125475768517
Wayne General Hospital266845758130

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. Micah Roger Welborn allows following entities to bill medicare on his behalf.
Entity NameWayne General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093930638
PECOS PAC ID: 2668457581
Enrollment ID: O20040623000865
Entity NameGastrointestinal Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093765604
PECOS PAC ID: 5294795241
Enrollment ID: O20041013001263
Entity NameLifelinc Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801021464
PECOS PAC ID: 0941347447
Enrollment ID: O20130522000277
Entity NameSouth Central Clinics, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801226287
PECOS PAC ID: 4385876655
Enrollment ID: O20140515000834
Entity NameSweet Dreams Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427667724
PECOS PAC ID: 1254757685
Enrollment ID: O20200817002170

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. Micah Roger Welborn 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
Micah Roger Welborn, CRNA
Po Box 247,
Laurel, MS 39441-0247

Ph: (601) 399-6167		Micah Roger Welborn, CRNA
1220 Jefferson St,
Laurel, MS 39440-4355

Ph: (601) 426-4000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Laurel, MS

Jeremy Mauldin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1220 Jefferson St, Laurel, MS 39440
Phone: 601-426-4507    Fax: 601-426-4228
Mr. Nick A Deniakos, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1220 Jefferson St, Laurel, MS 39440
Phone: 601-399-6167    Fax: 601-399-6281
Sheree Burton,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1710 W 12th St, Laurel, MS 39440
Phone: 601-369-2021    
Vonda Faye Walters, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1710 W 12th St, Laurel, MS 39440
Phone: 601-369-2021    
Mr. James B Huff Jr., CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1220 Jefferson St, 1220 Jefferson St, Laurel, MS 39440
Phone: 601-399-6167    Fax: 601-399-6281
Connie A Mcalpin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1220 Jefferson St, Laurel, MS 39440
Phone: 601-426-4000    

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.