Kim Marie Mckinnon, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Sandy, Utah. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Anderson Wellness Group Llc and her current practice location is
45 W Sego Lily Dr Ste 312, Sandy, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 676-9452.
Kim Marie Mckinnon is licensed to practice in Utah (license number 294366-8900) 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 1003302548.
Physician's Profile
| Full Name | Kim Marie Mckinnon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 45 W Sego Lily Dr Ste 312, Sandy, Utah |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kim Marie Mckinnon graduated from medical school in 2018
NPI Data:
- NPI Number: 1003302548
- Provider Enumeration Date: 07/09/2018
- Last Update Date: 01/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002242492
- Enrollment ID: I20200203001755
Medical Identifiers
Medical identifiers for Kim Marie Mckinnon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003302548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 294366-4405 (Utah) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 294366-8900 (Utah) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 294366-8900 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Anderson Wellness Group Llc | 9335550631 | 3 |
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. Kim Marie Mckinnon allows following entities to bill medicare on her behalf.
| Entity Name | Anderson Wellness Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245793249
PECOS PAC ID: 9335550631
Enrollment ID: O20201117002171 |
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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. Kim Marie Mckinnon 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 |
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Kim Marie Mckinnon, NP
8197 S 5140 W,
West Jordan, UT 84081-2705
Ph: (801) 895-6171 | Kim Marie Mckinnon, NP
45 W Sego Lily Dr Ste 312,
Sandy, UT 84070-3643
Ph: (801) 676-9452 |
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