Dr Chaundrissa Morenike Smith, PHD in Jonesboro, GA - Medicare Clinical Psychologist Provider

Dr Chaundrissa Morenike Smith, PHD is a medicare enrolled "Psychologist - Clinical" provider in Jonesboro, Georgia. She went to University Of South Carolina School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 603-3632.

Dr Chaundrissa Morenike Smith is licensed to practice in Georgia (license number PSY002979) 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 1922026301.

Contact Information

	Dr Chaundrissa Morenike Smith, PHD
	2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236
	(770) 603-3632
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Chaundrissa Morenike Smith
Gender	Female
Speciality	Clinical Psychologist
Experience	19 Years
Location	2400 Mt. Zion Parkway, Jonesboro, Georgia
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:

Dr Chaundrissa Morenike Smith attended and graduated from University Of South Carolina School Of Medicine in 2005

NPI Data:

NPI Number: 1922026301
Provider Enumeration Date: 07/17/2006
Last Update Date: 03/29/2022

Medicare PECOS Information:

PECOS PAC ID: 3870594534
Enrollment ID: I20070123000379

Medical Identifiers

Medical identifiers for Dr Chaundrissa Morenike Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922026301	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2979 (Georgia)	Secondary
103TC0700X	Psychologist - Clinical	PSY002979 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Southeast Permanente Medical Group	6204829013	576

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 Chaundrissa Morenike Smith allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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 Chaundrissa Morenike 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
Dr Chaundrissa Morenike Smith, PHD 3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 364-7070	Dr Chaundrissa Morenike Smith, PHD 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Ph: (770) 603-3632

Reviews and Comments

Psychologist in Jonesboro, GA

Hannah Yael Paull, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Pkwy, Jonesboro, GA 30236 Phone: 404-375-3328
Dr. Shameka Rena Pointer, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 149 S Mcdonough St Ste 200, Jonesboro, GA 30236 Phone: 770-905-2517
Dr. Julia Olivia Land, PSYD, CRC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 Phone: 770-603-3649 Fax: 404-638-5293
Dr. Jeana Renee' Griffith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2470 Mount Zion Pkwy, Jonesboro, GA 30236 Phone: 404-365-0966 Fax: 770-603-3993
Russell Farr Shearer Jr., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3632
Ms. Rochelle C Bell, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 113 Chestnut St, Jonesboro, GA 30236 Phone: 770-891-2270
Dr. Abby M Myers, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3668

Dr Chaundrissa Morenike Smith, PHD - Medicare Psychologist in Jonesboro, GA