Mr Hugh Russell Fortenberry Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Mccomb, MS

Mr Hugh Russell Fortenberry Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mccomb, Mississippi. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Medstream Anesthesia Pllc and his current practice location is 215 Marion Ave, Mccomb, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 249-5500.

Mr Hugh Russell Fortenberry Jr is licensed to practice in Mississippi (license number R860046) 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 1003844481.

Contact Information

Mr Hugh Russell Fortenberry Jr, CRNA
215 Marion Ave,
Mccomb, MS 39648-2705
(601) 249-5500
(601) 249-1709

Map and Direction




Provider's Profile

Full NameMr Hugh Russell Fortenberry Jr
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience20 Years
Location215 Marion Ave, Mccomb, 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:
  • Mr Hugh Russell Fortenberry Jr graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1003844481
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163468018
  • Enrollment ID: I20050630001087

Medical Identifiers

Medical identifiers for Mr Hugh Russell Fortenberry Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003844481NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R860046 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bolivar Medical CenterCleveland, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medstream Anesthesia Pllc7416198049570

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 Hugh Russell Fortenberry Jr allows following entities to bill medicare on his behalf.
Entity NameMccomb Anesthesia Associates, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619916533
PECOS PAC ID: 6204823891
Enrollment ID: O20040427000438
Entity NameMedstream Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20191228000191

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 Hugh Russell Fortenberry 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
Mr Hugh Russell Fortenberry Jr, CRNA
215 Marion Ave,
Mccomb, MS 39648-2705

Ph: (601) 249-5500
Mr Hugh Russell Fortenberry Jr, CRNA
215 Marion Ave,
Mccomb, MS 39648-2705

Ph: (601) 249-5500

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Mccomb, MS

Mr. Jason Todd Lane, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 215 Marion Ave, Mccomb, MS 39648
Phone: 601-249-5500    Fax: 601-249-1709
Mr. George Rayford Smith Ii, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 215 Marion Dr., Mccomb, MS 39648
Phone: 601-249-5500    
Rachel Spiers, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 215 Marion Ave, Mccomb, MS 39648
Phone: 601-249-1183    
Irby Lee Campbell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 215 Marion Ave, Mccomb, MS 39648
Phone: 601-249-1183    Fax: 601-249-1709
Mrs. Sarah Dart Andrews, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 215 Marion Ave, Mccomb, MS 39648
Phone: 601-249-5500    Fax: 601-249-1709
Anesha Handshaw, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 215 Marion Ave, Mccomb, MS 39648
Phone: 601-249-5500    

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.