Dr Kaynessa Celena Providence, MD - Medicare Internal Medicine in Marietta, GA

Dr Kaynessa Celena Providence, MD is a medicare enrolled "Internal Medicine" physician in Marietta, Georgia. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Wellstar Medical Group, Llc and her current practice location is 54 Tower Rd Ne, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 427-4682.

Dr Kaynessa Celena Providence is licensed to practice in Georgia (license number 86204) 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 1013303650.

Contact Information

Dr Kaynessa Celena Providence, MD
54 Tower Rd Ne,
Marietta, GA 30060-6977
(770) 427-4682
(770) 499-8562



Physician's Profile

Full NameDr Kaynessa Celena Providence
GenderFemale
SpecialityInternal Medicine
Experience10 Years
Location54 Tower Rd Ne, Marietta, 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 Kaynessa Celena Providence graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1013303650
  • Provider Enumeration Date: 04/10/2015
  • Last Update Date: 08/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547683484
  • Enrollment ID: I20200709003415

Medical Identifiers

Medical identifiers for Dr Kaynessa Celena Providence such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013303650NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 86204 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Home Health, LlcMarietta, GAHome health agency
Wellstar Kennestone HospitalMarietta, GAHospital
Wellstar Cobb HospitalAustell, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstar Medical Group, Llc67090654021839

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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 Kaynessa Celena Providence allows following entities to bill medicare on her behalf.
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374

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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 Kaynessa Celena Providence 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 Kaynessa Celena Providence, MD
54 Tower Rd Ne,
Marietta, GA 30060-6977

Ph: (770) 427-4682
Dr Kaynessa Celena Providence, MD
54 Tower Rd Ne,
Marietta, GA 30060-6977

Ph: (770) 427-4682

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Internal Medicine Doctors in Marietta, GA

Anu Kurl, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 400 Tower Rd Ne Ste 160, Marietta, GA 30060
Phone: 770-420-1690    Fax: 770-420-1661
Dr. Sharon M Odell, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 54 Tower Rd Ne, Marietta, GA 30060
Phone: 770-427-4682    Fax: 770-499-8562
Dr. Helga Annalina Bahr, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 580 Atlanta Country Club Drive, Marietta, GA 30068
Phone: 770-988-8554    
Dr. Ryan V Cantwell, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 320 Kennestone Hospital Blvd, Suite 201, Marietta, GA 30060
Phone: 770-427-2457    Fax: 770-427-2706
Dr. Joanne Zhiwen Zhu, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 677 Church St Ne # 111, Marietta, GA 30060
Phone: 770-793-7750    
Asif A Saberi, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 55 Whitcher St Ne, Suite 160, Marietta, GA 30060
Phone: 770-422-1372    Fax: 770-423-9651

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