Mr Roydell Herron Jr, in Jackson, TN - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Roydell Herron Jr, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Tennessee. He graduated from nursing school in 2022 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Medical Center Anesthesia, Inc and his current practice location is 620 Skyline Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 541-5000.

Mr Roydell Herron Jr is licensed to practice in Tennessee (license number 31490) 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 1265101018.

Contact Information

	Mr Roydell Herron Jr,
	620 Skyline Dr, Jackson, TN 38301-3923
	(731) 541-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Roydell Herron Jr
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	2 Years
Location	620 Skyline Dr, Jackson, Tennessee
Accepts Medicare Assignments	Yes. 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 Roydell Herron Jr graduated from nursing school in 2022

NPI Data:

NPI Number: 1265101018
Provider Enumeration Date: 09/07/2021
Last Update Date: 04/11/2024

Medicare PECOS Information:

PECOS PAC ID: 5890182661
Enrollment ID: I20220426000098

Medical Identifiers

Medical identifiers for Mr Roydell Herron Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265101018	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	211952 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	136181 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	31490 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jackson-madison County General Hospital	Jackson, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medical Center Anesthesia, Inc	2769629187	83

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 Roydell Herron Jr allows following entities to bill medicare on his behalf.

Entity Name	Gastroenterology Center Of The Midsouth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417932492 PECOS PAC ID: 4880619824 Enrollment ID: O20060201000753

Entity Name	Medical Center Anesthesia, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447591730 PECOS PAC ID: 2769629187 Enrollment ID: O20130502000265

Entity Name	Anesthesia Health Consultants
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336528926 PECOS PAC ID: 4688977218 Enrollment ID: O20170510001101

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 Roydell Herron 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 Address	Practice Location Address
Mr Roydell Herron Jr, 1150 Betty Manley Rd, Denmark, TN 38391-1854 Ph: (731) 217-6586	Mr Roydell Herron Jr, 620 Skyline Dr, Jackson, TN 38301-3923 Ph: (731) 541-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Jackson, TN

Robert Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 367 Hospital Blvd, Jackson, TN 38305 Phone: 731-661-2227
Brendan Mckinney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075
Ryan Shephard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075
Daniel T Hurst, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-668-1853 Fax: 731-664-7731
Pamela J Austin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-662-1853 Fax: 731-664-7731
Jason L. Hooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000
Kenneth W Hutchinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 17c Brentshire Square, Jackson, TN 38305 Phone: 731-664-1717 Fax: 731-664-7114

Mr Roydell Herron Jr, - Medicare Certified Registered Nurse Anesthetist (crna) in Jackson, TN