Mary Diane Kinsella, MD in Conyers, GA

Mary Diane Kinsella, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Conyers, Georgia. She went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Gastrointestinal Specialist Of Georgia, Pathology And Laboratory Medicine, Pc, South Suburban Pathologists Pc and her current practice location is 1412 Milstead Ave Ne Dept Of, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 423-1550.

Mary Diane Kinsella is licensed to practice in Georgia (license number 64527) 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 1205010790.

Contact Information

	Mary Diane Kinsella, MD
	1412 Milstead Ave Ne Dept Of, Conyers, GA 30012
	(678) 423-1550
	(678) 423-1550

Map and Direction

Physician's Profile

Full Name	Mary Diane Kinsella
Gender	Female
Speciality	Pathology
Experience	17 Years
Location	1412 Milstead Ave Ne Dept Of, Conyers, 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:

Mary Diane Kinsella attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2007

NPI Data:

NPI Number: 1205010790
Provider Enumeration Date: 12/20/2007
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0840456802
Enrollment ID: I20120720000025

Medical Identifiers

Medical identifiers for Mary Diane Kinsella such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205010790	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	002586 (Georgia)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	64527 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northside Hospital	Atlanta, GA	Hospital
Northside Hospital Cherokee	Canton, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gastrointestinal Specialist Of Georgia	9335032820	32
Pathology And Laboratory Medicine, Pc	1254323991	27
South Suburban Pathologists Pc	0547254872	6

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 Diane Kinsella allows following entities to bill medicare on her behalf.

Entity Name	Gastrointestinal Specialist Of Georgia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801975339 PECOS PAC ID: 9335032820 Enrollment ID: O20040206000897

Entity Name	Pathology And Laboratory Medicine, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649494816 PECOS PAC ID: 1254323991 Enrollment ID: O20040401000717

Entity Name	South Suburban Pathologists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720016801 PECOS PAC ID: 0547254872 Enrollment ID: O20040412000192

Entity Name	Ctca Physicians Group Of Georgia, Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117

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 Diane Kinsella 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
Mary Diane Kinsella, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325	Mary Diane Kinsella, MD 1412 Milstead Ave Ne Dept Of, Conyers, GA 30012 Ph: (678) 423-1550

Reviews and Comments

Pathology Doctors in Conyers, GA

Dr. Neil Edgerton, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3905
Dr. Paulie Papavassiliou-bajic, MDPHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Avenue, N.e., Department Of Pathology, Conyers, GA 30012 Phone: 770-918-3905
Joanne H Piratzky, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3248 Avalon Blvd, Conyers, GA 30013 Phone: 770-922-9706 Fax: 770-922-8792
Aileen P O'neill, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3248 Avalon Blvd, Conyers, GA 30013 Phone: 770-922-9706 Fax: 770-922-8792
Matthew Gihun Lim, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3906
Dr. Andrew Erling Johnsen, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3248 Avalon Pkwy, Conyers, GA 30013 Phone: 770-922-9706 Fax: 770-922-8792

Mary Diane Kinsella, MD - Medicare Pathology in Conyers, GA