Kellen Cannon, - Medicare Physical Therapy in La Plata, MD

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Kellen Cannon, is a medicare enrolled "Physical Therapist" physician in La Plata, Maryland. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Ati Holdings Llc, Ati Holdings Llc and 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 NameKellen Cannon
GenderFemale
SpecialityPhysical Therapy
Experience3 Years
Location212 Rosewick Rd, La Plata, Maryland
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:
  • Kellen Cannon graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1447920699
  • Provider Enumeration Date: 09/19/2021
  • Last Update Date: 05/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820486020
  • Enrollment ID: I20211020001554

Medical Identifiers

Medical identifiers for Kellen Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447920699NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 2305214662 (Virginia)Secondary
225100000XPhysical Therapist (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ati Holdings Llc9537112719366
Ati Holdings Llc9537112719366

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. Kellen Cannon allows following entities to bill medicare on her behalf.
Entity NameNirschl Orthopaedic Center For Sportsmedicine & Joint Reconstruction
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053459149
PECOS PAC ID: 8729065420
Enrollment ID: O20040701000074
Entity NameAti Holdings Llc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1396781050
PECOS PAC ID: 9537112719
Enrollment ID: O20140610001109
Entity NameProfessional Sportscare & Rehab Llc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1033142294
PECOS PAC ID: 9335137363
Enrollment ID: O20160418000007
Entity NameVirginia Luna Care Physical Therapy Llc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1235720848
PECOS PAC ID: 0941615405
Enrollment ID: O20210215000240

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 AddressPractice 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

Reviews and Comments



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.