Kellen Cannon, in La Plata, MD

Kellen Cannon, - Medicare in La Plata, MD

Kellen Cannon, is a medicare enrolled "Physical Therapist" physician in La Plata, Maryland. Her current practice location is 212 Rosewick Rd, La Plata, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 776-6900.

Kellen Cannon is licensed to practice in Maryland (license number ) 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 1447920699.

Contact Information

	Kellen Cannon,
	212 Rosewick Rd, La Plata, MD 20646-4216
	(240) 776-6900
	(240) 261-5321

Map and Direction

Physician's Profile

Full Name	Kellen Cannon
Gender	Female
Speciality
Experience	Years
Location	212 Rosewick Rd, La Plata, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kellen Cannon attended and graduated from in

NPI Data:

NPI Number: 1447920699
Provider Enumeration Date: 09/19/2021
Last Update Date: 05/21/2024

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Kellen Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447920699	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	2305214662 (Virginia)	Secondary
225100000X	Physical Therapist	(Maryland)	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. Kellen 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 Address	Practice Location Address
Kellen Cannon, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Kellen Cannon, 212 Rosewick Rd, La Plata, MD 20646-4216 Ph: (240) 776-6900