Mrs Constance Chenelle Fields, APC is a medicare enrolled "Counselor - Mental Health" provider in Berkley Lake, Georgia. She graduated from healthcare school in 2022 and has 3 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
4720 Peachtree Industrial Blvd, Bldg 400, Ste 4201, Berkley Lake, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 900-9583.
Mrs Constance Chenelle Fields is licensed to practice in Georgia (license number APC008629) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1891539003.
Healthcare Provider's Profile
| Full Name | Mrs Constance Chenelle Fields |
|---|
| Gender | Female |
|---|
| Speciality | Mental Health Counselor |
|---|
| Experience | 3 Years |
|---|
| Location | 4720 Peachtree Industrial Blvd, Berkley Lake, Georgia |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Constance Chenelle Fields graduated from medical school in 2022
NPI Data:
- NPI Number: 1891539003
- Provider Enumeration Date: 06/21/2024
- Last Update Date: 06/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456875962
- Enrollment ID: I20250407000924
Medical Identifiers
Medical identifiers for Mrs Constance Chenelle Fields such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891539003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | APC008629 (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. Mrs Constance Chenelle Fields allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
|---|
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. Mrs Constance Chenelle Fields 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 |
Mrs Constance Chenelle Fields, APC 1435 Haynes Trace Ct, Grayson, GA 30017-2898 Ph: (352) 214-8949 | Mrs Constance Chenelle Fields, APC 4720 Peachtree Industrial Blvd, Bldg 400, Ste 4201, Berkley Lake, GA 30071 Ph: (404) 900-9583 |
Reviews and Comments