Charelle Octavia Smith, MD - Medicare Family Practice in Du Quoin, IL

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Charelle Octavia Smith, MD is a medicare enrolled "Family Medicine" physician in Du Quoin, Illinois. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Christopher Greater Area Rural Health Planning Corp and her current practice location is 1564 S Washington St, Du Quoin, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 542-8702.

Charelle Octavia Smith is licensed to practice in Illinois (license number 036.153658) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285128504.

Contact Information

Charelle Octavia Smith, MD
1564 S Washington St,
Du Quoin, IL 62832-3849
(618) 542-8702
(618) 542-8792

Map and Direction




Physician's Profile

Full NameCharelle Octavia Smith
GenderFemale
SpecialityFamily Practice
Experience7 Years
Location1564 S Washington St, Du Quoin, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charelle Octavia Smith graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1285128504
  • Provider Enumeration Date: 06/20/2018
  • Last Update Date: 07/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6305194283
  • Enrollment ID: I20201113000423

Medical Identifiers

Medical identifiers for Charelle Octavia Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285128504NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036.153658 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hospice Of Southern Ill, IncBelleville, ILHospice
Marshall Browning HospitalDu quoin, ILHospital
Memorial Hospital Of CarbondaleCarbondale, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Christopher Greater Area Rural Health Planning Corp822494738746

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. Charelle Octavia Smith allows following entities to bill medicare on her behalf.
Entity NameChristopher Greater Area Rural Health Planning Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639159213
PECOS PAC ID: 8224947387
Enrollment ID: O20040109000561
Entity NameIntegritas Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790128817
PECOS PAC ID: 7113167446
Enrollment ID: O20130710000760
Entity NameGranite City Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669926424
PECOS PAC ID: 8527356591
Enrollment ID: O20161006000282

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. Charelle Octavia 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 AddressPractice Location Address
Charelle Octavia Smith, MD
Po Box 155,
Christopher, IL 62822-0155

Ph: (618) 724-2401		Charelle Octavia Smith, MD
1564 S Washington St,
Du Quoin, IL 62832-3849

Ph: (618) 542-8702

Reviews and Comments


Family Medicine Doctors in Du Quoin, IL

Dr. David E Gerdt, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 900 N Washington St, Du Quoin, IL 62832
Phone: 618-542-2146    Fax: 618-542-4756
Adam Jordan Henson,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 916 N Washington Street, Du Quoin, IL 62832
Phone: 618-790-7401    
Benjamin T Rathert, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1564 S Washington St, Du Quoin, IL 62832
Phone: 618-542-8702    
Dr. Suzanne Burge, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1564 S Washington St, Du Quoin, IL 62832
Phone: 618-542-8702    Fax: 618-542-8792
Darragh O'connor, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 900 N Washington St, Du Quoin, IL 62832
Phone: 618-542-2146    
Carmen Krejci, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 119 Gas Plant Rd, Du Quoin, IL 62832
Phone: 618-542-8702    Fax: 618-724-2571

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.