Carolyn Kinzer-bezanson Wall, MD in Brunswick, GA

Carolyn Kinzer-bezanson Wall, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Brunswick, Georgia. She went to Medical College Of Georgia School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Southeastern Pathology Associates Pc, Southeastern Pathology Associates Pc and her current practice location is 203 Indigo Drive, Southeastern Pathology Associates, Pc, Brunswick, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 279-1900.

Carolyn Kinzer-bezanson Wall is licensed to practice in Georgia (license number 038275) 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 1124002712.

Contact Information

	Carolyn Kinzer-bezanson Wall, MD
	203 Indigo Drive, Southeastern Pathology Associates, Pc, Brunswick, GA 31525
	(912) 279-1900
	(912) 261-0753

Map and Direction

Physician's Profile

Full Name	Carolyn Kinzer-bezanson Wall
Gender	Female
Speciality	Pathology
Experience	32 Years
Location	203 Indigo Drive, Brunswick, 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:

Carolyn Kinzer-bezanson Wall attended and graduated from Medical College Of Georgia School Of Medicine in 1992

NPI Data:

NPI Number: 1124002712
Provider Enumeration Date: 12/06/2005
Last Update Date: 12/05/2014

Medicare PECOS Information:

PECOS PAC ID: 5698804169
Enrollment ID: I20100520000777

Medical Identifiers

Medical identifiers for Carolyn Kinzer-bezanson Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124002712	NPI	-	NPPES
000931356F	Medicaid	GA
000931356B	Medicaid	GA
000931356A	Medicaid	GA
000931356C	Medicaid	GA
000931356D	Medicaid	GA
000931356	Medicaid	GA
000931356E	Medicaid	GA
000931356I	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	038275 (Georgia)	Primary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	ME85489 (Florida)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD29387 (South Carolina)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD317652 (Alabama)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD.12093R/INACTIVE (Louisiana)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
East Georgia Regional Medical Center	Statesboro, GA	Hospital
Effingham Health System	Springfield, GA	Hospital
Southeast Georgia Health System- Brunswick Campus	Brunswick, GA	Hospital
Wayne Memorial Hospital	Jesup, GA	Hospital
Jeff Davis Hospital	Hazlehurst, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Pathology Associates Pc	5890781371	47
Southeastern Pathology Associates Pc	5890781371	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. Carolyn Kinzer-bezanson Wall allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Pathology Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821104704 PECOS PAC ID: 5890781371 Enrollment ID: O20040421000744

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. Carolyn Kinzer-bezanson Wall 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
Carolyn Kinzer-bezanson Wall, MD Po Box 30309, Charleston, SC 29417 Ph: (843) 554-9300	Carolyn Kinzer-bezanson Wall, MD 203 Indigo Drive, Southeastern Pathology Associates, Pc, Brunswick, GA 31525 Ph: (912) 279-1900

Reviews and Comments

Pathology Doctors in Brunswick, GA

Dr. Yumi Angerica Kojima, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 203 Indigo Dr, Brunswick, GA 31525 Phone: 912-261-2669 Fax: 912-261-0561
Ningxing Chen, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 203 Indigo Dr, Brunswick, GA 31525 Phone: 912-261-2669
Rena Burlingame Rengo, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 203 Indigo Dr, Brunswick, GA 31525 Phone: 912-261-2669
Shyamala Yennam, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 203 Indigo Dr, Brunswick, GA 31525 Phone: 912-261-2669 Fax: 912-261-0561
Janet O. Hon, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3011 Hampton Ave, Sepa, Brunswick, GA 31520 Phone: 912-261-2669 Fax: 912-261-0561
Rose P Draviam, M. D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3011 Hampton Ave, Brunswick, GA 31520 Phone: 912-261-2669 Fax: 912-261-0561

Carolyn Kinzer-bezanson Wall, MD - Medicare Pathology in Brunswick, GA