Dr Kara L Duncan, MD - Medicare Pathology in Rome, GA

Dr Kara L Duncan, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Rome, Georgia. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Southeastern Pathology, P.c. and her current practice location is 311 W 8th St Ne, Rome, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 291-2430.

Dr Kara L Duncan is licensed to practice in Georgia (license number 78691) 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 1649538570.

Contact Information

Dr Kara L Duncan, MD
311 W 8th St Ne,
Rome, GA 30165-2797
(706) 291-2430
(706) 290-0201

Map and Direction




Physician's Profile

Full NameDr Kara L Duncan
GenderFemale
SpecialityPathology
Experience21 Years
Location311 W 8th St Ne, Rome, Georgia
Accepts Medicare AssignmentsYes. 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 Kara L Duncan graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1649538570
  • Provider Enumeration Date: 04/28/2012
  • Last Update Date: 08/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3870867104
  • Enrollment ID: I20170925002395

Medical Identifiers

Medical identifiers for Dr Kara L Duncan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649538570NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 78691 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Mountainside Hospital IncJasper, GAHospital
Redmond Regional Medical CenterRome, GAHospital
Adventhealth GordonCalhoun, GAHospital
Floyd Medical CenterRome, GAHospital
Dekalb Regional Medical CenterFort payne, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Pathology, P.c.41836179888

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 Kara L Duncan allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Pathology, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508848300
PECOS PAC ID: 4183617988
Enrollment ID: O20040407000313

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 Kara L Duncan 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
Dr Kara L Duncan, MD
311 W 8th St Ne,
Rome, GA 30165-2797

Ph: (706) 291-2430
Dr Kara L Duncan, MD
311 W 8th St Ne,
Rome, GA 30165-2797

Ph: (706) 291-2430

Reviews and Comments


Pathology Doctors in Rome, GA

Maximilian Goebel, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 311 W 8th St Ne, Rome, GA 30165
Phone: 706-291-2430    
Dr. Patrick David Kearns, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 311 W 8th St Ne, Rome, GA 30165
Phone: 706-291-8702    Fax: 706-291-6514
Dr. Susan Elena Shirley, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 311 W 8th St Ne, Rome, GA 30165
Phone: 706-291-8702    
Kendall Stuart Brewer, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 311 West 8th Street, Rome, GA 30165
Phone: 706-291-8702    Fax: 706-291-6514
Dr. Steven G Hom, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 311 W 8th St Ne, Rome, GA 30165
Phone: 706-291-8702    
Richard D Fernandez, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 311 West 8th Street, Rome, GA 30165
Phone: 706-291-8702    Fax: 706-291-6514
Dr. Christopher J Kligora, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 311 W 8th St Ne, Rome, GA 30165
Phone: 706-291-8702    Fax: 706-291-6514

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).

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