Dr Jenna Michal Kanner, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Aurora, Colorado. Her current practice location is
12631 E 17th Ave Ste F496, Aurora, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 724-9700.
Dr Jenna Michal Kanner is licensed to practice in Colorado (license number ) 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 1144921008.
Physician's Profile
| Full Name | Dr Jenna Michal Kanner |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 12631 E 17th Ave Ste F496, Aurora, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144921008
- Provider Enumeration Date: 03/16/2023
- Last Update Date: 08/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 9335683267
- Enrollment ID: I20240702001458
Medical Identifiers
Medical identifiers for Dr Jenna Michal Kanner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1144921008 | NPI | - | NPPES |
| 9000231359 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | DR.0078064 (Colorado) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Colorado) | Primary |
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 Jenna Michal Kanner 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 |
Dr Jenna Michal Kanner, 12631 E 17th Ave Ste F496, Aurora, CO 80045-2527 Ph: (303) 724-9700 | Dr Jenna Michal Kanner, 12631 E 17th Ave Ste F496, Aurora, CO 80045-2527 Ph: (303) 724-9700 |
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