Chantalette Smith, MSN, APRN, FNP-C in Kennesaw, GA

Chantalette Smith, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Kennesaw, Georgia. Her current practice location is 3440 Blue Springs Rd Nw Ste 503, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 857-9575.

Chantalette Smith is licensed to practice in Georgia (license number RN248645) 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 1962049494.

Contact Information

	Chantalette Smith, MSN, APRN, FNP-C
	3440 Blue Springs Rd Nw Ste 503, Kennesaw, GA 30144-1038
	(404) 857-9575
	Not Available

Map and Direction

Provider's Profile

Full Name	Chantalette Smith
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	3440 Blue Springs Rd Nw Ste 503, Kennesaw, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962049494
Provider Enumeration Date: 12/03/2019
Last Update Date: 07/14/2020

Medicare PECOS Information:

PECOS PAC ID: 3870904493
Enrollment ID: I20201202002085

Medical Identifiers

Medical identifiers for Chantalette Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962049494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	RN248645 (Georgia)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	RN248645 (Georgia)	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. Chantalette Smith allows following entities to bill medicare on her behalf.

Entity Name	Theramed Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487056586 PECOS PAC ID: 0345564472 Enrollment ID: O20150121001157

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200115001292

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. Chantalette Smith 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
Chantalette Smith, MSN, APRN, FNP-C Po Box 447, Ellabell, GA 31308-0447 Ph: (912) 414-9923	Chantalette Smith, MSN, APRN, FNP-C 3440 Blue Springs Rd Nw Ste 503, Kennesaw, GA 30144-1038 Ph: (404) 857-9575

Reviews and Comments

Nurse Practitioner Nurses in Kennesaw, GA

Lisa Vivienne Poling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Chastain Rd Nw, Kennesaw, GA 30144 Phone: 678-797-2844 Fax: 678-797-2827
Mrs. Quyen Le Ta, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2628 Myrtlewood Ln Nw, Kennesaw, GA 30144 Phone: 404-324-9413
Ms. Tanya S Wilcox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152 Phone: 770-515-9000
Mrs. Martricia Meshonna Turner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3805 Cherokee St Nw, Kennesaw, GA 30144 Phone: 770-426-5666 Fax: 770-426-6205
Ms. Stacey Levison, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2782 Cobb Pkwy Nw, Kennesaw, GA 30152 Phone: 770-590-8181
Ms. Kimberly Noel Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 Ernest W Barrett Pkwy Nw # 102b, Kennesaw, GA 30144 Phone: 678-354-2273
Nilomee Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2851 Cobb Pkwy Nw Ste 107, Kennesaw, GA 30152 Phone: 770-738-7560

Chantalette Smith, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Kennesaw, GA