Dr Odetta Smiley, PSYD, LPC, CCMHC,MAC - Medicare Counselor in Richmond Hill, GA

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Dr Odetta Smiley, PSYD, LPC, CCMHC,MAC is a medicare enrolled "Counselor - Professional" provider in Richmond Hill, Georgia. Her current practice location is 185 Richard Davis Dr Ste 102, Richmond Hill, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 304-3051.

Dr Odetta Smiley is licensed to practice in Georgia (license number LPC004492) 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 1194082818.

Contact Information

Dr Odetta Smiley, PSYD, LPC, CCMHC,MAC
185 Richard Davis Dr Ste 102,
Richmond Hill, GA 31324-3978
(912) 304-3051
(844) 904-0927

Map and Direction


Healthcare Provider's Profile

Full NameDr Odetta Smiley
GenderFemale
SpecialityCounselor - Professional
Location185 Richard Davis Dr Ste 102, Richmond Hill, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194082818
  • Provider Enumeration Date: 04/19/2012
  • Last Update Date: 01/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476956723
  • Enrollment ID: I20250217002553

Medical Identifiers

Medical identifiers for Dr Odetta Smiley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194082818NPI-NPPES
1194082818OtherGANPI
003228219AMedicaidGA
1659911063OtherGANPI 2

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 507430 (* (Not Available))Secondary
103T00000XPsychologist (* (Not Available))Secondary
101YP2500XCounselor - Professional LPC004492 (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. Dr Odetta Smiley allows following entities to bill medicare on her behalf.
Entity NameCurtis Behavioral Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942852512
PECOS PAC ID: 1456681527
Enrollment ID: O20191003000132
Entity NameOdetta Smiley, Psyd, Lpc, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659911063
PECOS PAC ID: 0446652036
Enrollment ID: O20250217002027

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. Dr Odetta Smiley 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
Dr Odetta Smiley, PSYD, LPC, CCMHC,MAC
20 Joshua Cir,
Ellabell, GA 31308-7301

Ph: (912) 655-1811		Dr Odetta Smiley, PSYD, LPC, CCMHC,MAC
185 Richard Davis Dr Ste 102,
Richmond Hill, GA 31324-3978

Ph: (912) 304-3051

Reviews and Comments


Counselor in Richmond Hill, GA

Iiesha Black, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 142 Cypress Pointe Dr, Richmond Hill, GA 31324
Phone: 912-790-9290    
Jade Johansen, NCC, M. ED.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: Goal Mentality, Llc, 10375 Ford Ave Building A, Suite 3, Richmond Hill, GA 31324
Phone: 912-500-5800    
Dr. Stephen Burton, L.C.P.C.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 67 Beecher Dr, Richmond Hill, GA 31324
Phone: 240-523-3893    Fax: 413-683-1654
Candice Marie Mcdonald, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 528 Logging Hill Dr, Richmond Hill, GA 31324
Phone: 618-541-1876    
Patricia Rene Harris, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 9390 Ford Ave Ste 7b, Richmond Hill, GA 31324
Phone: 912-658-7352    
Roseline Shaw,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 10610 Ford Ave, Richmond Hill, GA 31324
Phone: 908-239-7491    

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.