Domineque Ariane Chhun, NP-C - Medicare Nurse Practitioner in Smyrna, GA

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Domineque Ariane Chhun, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Smyrna, Georgia. Her current practice location is 2670 Cobb Pkwy Se, Smyrna, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 732-1528.

Domineque Ariane Chhun is licensed to practice in Georgia (license number 255-839) 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 1275016776.

Contact Information

Domineque Ariane Chhun, NP-C
2670 Cobb Pkwy Se,
Smyrna, GA 30080-3014
(678) 732-1528
Not Available

Map and Direction




Provider's Profile

Full NameDomineque Ariane Chhun
GenderFemale
SpecialityNurse Practitioner - Family
Location2670 Cobb Pkwy Se, Smyrna, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275016776
  • Provider Enumeration Date: 09/11/2018
  • Last Update Date: 01/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3870923683
  • Enrollment ID: I20200420000225

Medical Identifiers

Medical identifiers for Domineque Ariane Chhun such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275016776NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 255-839 (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. Domineque Ariane Chhun allows following entities to bill medicare on her behalf.
Entity NamePiedmont Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104088905
PECOS PAC ID: 8921176231
Enrollment ID: O20081014000187

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. Domineque Ariane Chhun 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
Domineque Ariane Chhun, NP-C
491 Hopkins St Sw,
Atlanta, GA 30310-1671

Ph: (913) 963-1842		Domineque Ariane Chhun, NP-C
2670 Cobb Pkwy Se,
Smyrna, GA 30080-3014

Ph: (678) 732-1528

Reviews and Comments


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Brooke L Kahler, NP
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Erin Ferguson,
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Practice Location: 4581 S Cobb Dr Se Ste 100, Smyrna, GA 30080
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Practice Location: 2994 Atlanta Rd Se, Smyrna, GA 30080
Phone: 770-435-2178    
Priscilla Elyse Colpo, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3634 Highlands Pkwy Se, Smyrna, GA 30082
Phone: 770-970-0858    
Dr. Angelyn Levell-smith, NURSE PRACTITIONER
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Medicare: Accepting Medicare Assignments
Practice Location: 2994 Atlanta Rd Se, Smyrna, GA 30080
Phone: 770-435-2178    
Mrs. Ashley Howard Montcalm, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4441 Atlanta Rd Se Ste 206, Smyrna, GA 30080
Phone: 770-333-2020    Fax: 770-333-2023

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.