Dr Kendell Michelle Cannon, MD - Medicare Internal Medicine in Murray, UT

Dr Kendell Michelle Cannon, MD is a medicare enrolled "Internal Medicine" physician in Murray, Utah. She went to University Of Utah School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Stanford Health Care and her current practice location is 6272 S Highland Dr, Murray, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 871-6000.

Dr Kendell Michelle Cannon is licensed to practice in Utah (license number 8436452-1205) 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 1194016600.

Contact Information

Dr Kendell Michelle Cannon, MD
6272 S Highland Dr,
Murray, UT 84121-2126
(801) 871-6000
Not Available

Map and Direction




Physician's Profile

Full NameDr Kendell Michelle Cannon
GenderFemale
SpecialityInternal Medicine
Experience13 Years
Location6272 S Highland Dr, Murray, Utah
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 Kendell Michelle Cannon attended and graduated from University Of Utah School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1194016600
  • Provider Enumeration Date: 05/02/2011
  • Last Update Date: 03/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9234361163
  • Enrollment ID: I20171018001197

Medical Identifiers

Medical identifiers for Dr Kendell Michelle Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194016600NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A150548 (California)Secondary
207R00000XInternal Medicine 66514 (Arizona)Secondary
207R00000XInternal Medicine 8436452-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Stanford Health CareStanford, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stanford Health Care67097974912572

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 Kendell Michelle Cannon allows following entities to bill medicare on her behalf.
Entity NameStanford Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348
Entity NamePine Park Health, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346879848
PECOS PAC ID: 0345670527
Enrollment ID: O20200501001068

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 Kendell Michelle Cannon 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 Kendell Michelle Cannon, MD
7392 S Canyon Center Pkwy Unit 7,
Salt Lake City, UT 84121-4547

Ph: (801) 507-7000
Dr Kendell Michelle Cannon, MD
6272 S Highland Dr,
Murray, UT 84121-2126

Ph: (801) 871-6000

Reviews and Comments


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Phone: 801-507-3630    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.