Stella Dimaris Cruz Rodriguez, PSYD in Smyrna, GA - Medicare Psychologist Provider

Stella Dimaris Cruz Rodriguez, PSYD is a medicare enrolled "Psychologist" provider in Smyrna, Georgia. Her current practice location is 3316-a S Cobb Drive Pmb 127, Smyrna, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 568-3611.

Stella Dimaris Cruz Rodriguez is licensed to practice in Georgia (license number PSY004432) 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 1578162970.

Contact Information

	Stella Dimaris Cruz Rodriguez, PSYD
	3316-a S Cobb Drive Pmb 127, Smyrna, GA 30080
	(470) 568-3611
	(470) 804-0014

Map and Direction

Healthcare Provider's Profile

Full Name	Stella Dimaris Cruz Rodriguez
Gender	Female
Speciality	Psychologist
Location	3316-a S Cobb Drive Pmb 127, Smyrna, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578162970
Provider Enumeration Date: 10/19/2020
Last Update Date: 04/21/2026

Medicare PECOS Information:

PECOS PAC ID: 8224440490
Enrollment ID: I20201211000478

Medical Identifiers

Medical identifiers for Stella Dimaris Cruz Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578162970	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY004432 (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. Stella Dimaris Cruz Rodriguez 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. Stella Dimaris Cruz Rodriguez 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
Stella Dimaris Cruz Rodriguez, PSYD 3316-a S Cobb Drive Pmb 127, Smyrna, GA 30080 Ph: (470) 568-3611	Stella Dimaris Cruz Rodriguez, PSYD 3316-a S Cobb Drive Pmb 127, Smyrna, GA 30080 Ph: (470) 568-3611

Reviews and Comments

Psychologist in Smyrna, GA

Dr. Debra Ann Geisel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1234 King Springs Ct Se, Smyrna, GA 30080 Phone: 770-789-1008
Dr. Michael Bucovetsky, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4045 Orchard Rd Se, Suite 110, Smyrna, GA 30080 Phone: 770-293-1950 Fax: 770-293-1955
Dr. Catherine Hilary Rogers, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2400 Lake Park Dr Se Ste 110, Smyrna, GA 30080 Phone: 770-933-4130 Fax: 770-993-4135
Dr. Martha Louise Dorsey, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 133 Ennisbrook Dr Se, Smyrna, GA 30082 Phone: 678-556-9433 Fax: 678-556-9433
Dr. Sabrina Hickle, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2400 Lake Park Dr Se Ste 110, Smyrna, GA 30080 Phone: 770-933-4130
Dr. Jason King, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2400 Lake Park Dr Se Ste 110, Smyrna, GA 30080 Phone: 770-933-4130 Fax: 770-933-4130
Dr. Xiaohui Yang, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4045 Orchard Rd Se, Smyrna, GA 30080 Phone: 770-293-1950

Stella Dimaris Cruz Rodriguez, PSYD - Medicare Psychologist in Smyrna, GA