Mckenzie Diane Canon, APRN is a medicare enrolled "Advanced Practice Midwife" physician in Nashville, Tennessee. Her current practice location is
3601 The Vanderbilt Clinic, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 322-5000.
Mckenzie Diane Canon is licensed to practice in Tennessee (license number 34246) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023799327.
Physician's Profile
Full Name | Mckenzie Diane Canon |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 3601 The Vanderbilt Clinic, Nashville, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023799327
- Provider Enumeration Date: 07/28/2023
- Last Update Date: 09/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779947106
- Enrollment ID: I20230918003206
Medical Identifiers
Medical identifiers for Mckenzie Diane Canon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023799327 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 34246 (Tennessee) | Secondary |
367A00000X | Advanced Practice Midwife | 34246 (Tennessee) | Primary |
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. Mckenzie Diane Canon allows following entities to bill medicare on her behalf.
Entity Name | Vanderbilt University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
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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. Mckenzie Diane Canon 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 |
Mckenzie Diane Canon, APRN 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: () - | Mckenzie Diane Canon, APRN 3601 The Vanderbilt Clinic, Nashville, TN 37232-8162 Ph: (615) 322-5000 |
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