CAROLYN KINZER-BEZANSON WALL (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1124002712
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
391 PATHOLOGY in GA
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Provider Addresses for CAROLYN KINZER-BEZANSON WALL (M.D.)
Indigo, Chipman Hill, Saint John, City of Saint John, Saint John County, New Brunswick, E2L 1A2, Canada
SOUTHEASTERN PATHOLOGY ASSOCIATES, PC
BRUNSWICK, GA 31525
Phone: (912) 279-1900
Fax: (912) 261-0753
Type: Location
PO BOX 30309
CHARLESTON, SC 29417
Phone: (843) 554-9300
Fax: (843) 566-8780
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (921 days ago).
Enrollment records
3
Earliest due date
2023-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100520000777 | I | Pathology | GA | TBD |
| I20130606000515 | I | Pathology | FL | TBD |
| I20151104002974 | I | Pathology | SC | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 505 | 316 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 445 | 391 | $0 |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 68 | 50 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 58 | 53 | $0 |
| 88121 | Cell examination of urine, computer-assisted | 45 | 44 | $0 |
Insurance plans in this area (ZIP 31525)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | GA | |
| P A T H O L O G Y | AL | |
| P A T H O L O G Y | GA | |
| P A T H O L O G Y | GA | |
| P A T H O L O G Y | GA | |
| - | FL | |
| P A T H O L O G Y | GA | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | IL |
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