Mary Jane B Kassam, MD - Medicare General Practice in Conyers, GA

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Mary Jane B Kassam, MD is a medicare enrolled "General Practice" physician in Conyers, Georgia. Her current practice location is 2020 Honey Creek Pkwy Se, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 929-0813.

Mary Jane B Kassam is licensed to practice in Georgia (license number 033610) 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 1306844675.

Contact Information

Mary Jane B Kassam, MD
2020 Honey Creek Pkwy Se,
Conyers, GA 30013-2974
(770) 929-0813
(770) 922-8653

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Physician's Profile

Full NameMary Jane B Kassam
GenderFemale
SpecialityGeneral Practice
Location2020 Honey Creek Pkwy Se, Conyers, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306844675
  • Provider Enumeration Date: 07/12/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8628086055
  • Enrollment ID: I20060328000042

Medical Identifiers

Medical identifiers for Mary Jane B Kassam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306844675NPI-NPPES
00447323AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 033610 (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. Mary Jane B Kassam allows following entities to bill medicare on her behalf.
Entity NameRockdale Family Practice, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952460149
PECOS PAC ID: 4284527151
Enrollment ID: O20040204000777

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. Mary Jane B Kassam 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
Mary Jane B Kassam, MD
2020 Honey Creek Pkwy Se,
Conyers, GA 30013-2974

Ph: (770) 929-0813		Mary Jane B Kassam, MD
2020 Honey Creek Pkwy Se,
Conyers, GA 30013-2974

Ph: (770) 929-0813

Reviews and Comments


General Practice Doctors in Conyers, GA

Mr. Jack Lee Sorg, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 1301 Well Brook Circle, Conyers, GA 30012
Phone: 770-922-3023    Fax: 770-929-1016
Dr. Jackson L Gates, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 1880 Lancaster Drive, Conyers, GA 30013
Phone: 678-591-6509    

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.