Kendell Porter Coburn, DO - Medicare Internal Medicine in Bountiful, UT

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Kendell Porter Coburn, DO is a medicare enrolled "Internal Medicine" physician in Bountiful, Utah. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2019 and has 7 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Joshua Oaks Md Pllc and his current practice location is 390 N Main St, Bountiful, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 397-6300.

Kendell Porter Coburn is licensed to practice in Utah (license number 12813168-1204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902365216.

Contact Information

Kendell Porter Coburn, DO
390 N Main St,
Bountiful, UT 84010-6046
(801) 397-6300
Not Available

Map and Direction




Physician's Profile

Full NameKendell Porter Coburn
GenderMale
SpecialityInternal Medicine
Experience7 Years
Location390 N Main St, Bountiful, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kendell Porter Coburn attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2019
  NPI Data:
  • NPI Number: 1902365216
  • Provider Enumeration Date: 03/16/2019
  • Last Update Date: 07/20/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5799011995
  • Enrollment ID: I20220713002817

Medical Identifiers

Medical identifiers for Kendell Porter Coburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902365216NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MED-RES-LIC-77254 (Montana)Secondary
207R00000XInternal Medicine 12813168-1204 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Symbii Home HealthLayton, UTHome health agency
Atlas Home CareLayton, UTHome health agency
Symbii HospiceLayton, UTHospice
Ogden Regional Medical CenterOgden, UTHospital
Intermountain Health Mckay-dee HospitalOgden, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Joshua Oaks Md Pllc084077668831

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. Kendell Porter Coburn allows following entities to bill medicare on his behalf.
Entity NameSteven S Salisbury
Entity TypePractitioner - Internal Medicine
Entity IdentifiersNPI Number: 1235191495
PECOS PAC ID: 1052443777
Enrollment ID: I20100715000911
Entity NameJoshua Oaks
Entity TypePractitioner - Internal Medicine
Entity IdentifiersNPI Number: 1205221405
PECOS PAC ID: 0244594729
Enrollment ID: I20180509001485
Entity NameJoshua Oaks MD PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184125668
PECOS PAC ID: 0840776688
Enrollment ID: O20260112000406

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. Kendell Porter Coburn 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
Kendell Porter Coburn, DO
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: Not Available		Kendell Porter Coburn, DO
390 N Main St,
Bountiful, UT 84010-6046

Ph: (801) 397-6300

Reviews and Comments


Internal Medicine Doctors in Bountiful, UT

Mr. Grant L. Christian, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 425 Medical Drive, Suite 118, Bountiful, UT 84010
Phone: 801-292-1422    Fax: 801-296-0436
Dr. Nedda Beth Hendler, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 390 N Main St, Bountiful, UT 84010
Phone: 801-294-1044    Fax: 801-292-8369
Dr. William Taylor Sadler, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 415 South Medical Drive, Suite C202, Bountiful, UT 84010
Phone: 801-295-8523    Fax: 801-295-3309
Dr. Joshua Brad Oaks, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 520 Medical Dr Ste 300, Bountiful, UT 84010
Phone: 801-292-1422    Fax: 801-296-0436
Mr. David Rayburn Moore, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 620 East Medical Drive #205, Bountiful, UT 84010
Phone: 801-298-0057    Fax: 801-298-9765
Val R Hansen, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 520 Medical Dr, Ste 300, Bountiful, UT 84010
Phone: 801-295-9467    
Bryan R. Bartholomew, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 520 Medical Dr Ste 200, Bountiful, UT 84010
Phone: 801-299-7800    

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.