Charelle Octavia Smith, MD in Carbondale, IL

Charelle Octavia Smith, MD is a medicare enrolled "Family Medicine" physician in Carbondale, Illinois. She graduated from medical school in 2018 and has 6 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 Corporation and her current practice location is 305 W Jackson St Ste 200, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 536-6621.

Charelle Octavia Smith is licensed to practice in Illinois (license number 125.073076) 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
	305 W Jackson St Ste 200, Carbondale, IL 62901-1474
	(618) 536-6621
	(618) 453-1102

Map and Direction

Physician's Profile

Full Name	Charelle Octavia Smith
Gender	Female
Speciality	Family Practice
Experience	6 Years
Location	305 W Jackson St Ste 200, Carbondale, Illinois
Accepts Medicare Assignments	Yes. 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: 06/20/2018

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.

Identifier	Type	State	Issuer
1285128504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	125.073076 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Marshall Browning Hospital	Du quoin, IL	Hospital
Pinckneyville Community Hospital	Pinckneyville, IL	Hospital
Memorial Hospital Of Carbondale	Carbondale, IL	Hospital
Anna Hospital Corporation D/b/a Union County Hospital	Anna, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christopher Greater Area Rural Health Planning Corporation	8224947387	47

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 Name	Christopher Greater Area Rural Health Planning Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073816542 PECOS PAC ID: 8224947387 Enrollment ID: O20040109000561

Entity Name	Integritas Emergency Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760

Entity Name	Granite City Hospitalist Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice Location Address
Charelle Octavia Smith, MD 305 W Jackson St Ste 200, Carbondale, IL 62901-1474 Ph: (618) 536-6621	Charelle Octavia Smith, MD 305 W Jackson St Ste 200, Carbondale, IL 62901-1474 Ph: (618) 536-6621

Reviews and Comments

Family Medicine Doctors in Carbondale, IL

Dr. Kowsika Movva, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 W Jackson St Ste 102, Carbondale, IL 62901 Phone: 618-457-0456 Fax: 618-457-2222
Ashmeet Singh Sahni, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Oak St Ste 200, Carbondale, IL 62901 Phone: 618-536-6621
Thomas Murphy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 200, Carbondale, IL 62901 Phone: 618-536-6621
Sandhya Rani Grandhi, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-457-4542
Brian Jay Reach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 217-545-8000
Jordyn Audrey Drake, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621
Scott K Schonewolf, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St, Suite 200, Carbondale, IL 62901 Phone: 618-453-3777 Fax: 618-453-1102

Charelle Octavia Smith, MD - Medicare Family Practice in Carbondale, IL