- Medicare Primary Care in Cannonville, UT

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is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Cannonville, Utah. The current practice location for is 25 S Redrock Dr, Cannonville, Utah. For appointments, you can reach them via phone at (435) 679-8545. The mailing address for is Po Box 30180, Salt Lake City, Utah and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1013119155. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (435) 679-8545.

Contact Information

25 S Redrock Dr
Cannonville
UT 84718-8001
(435) 679-8545
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location25 S Redrock Dr, Cannonville, Utah
Authorized Official Name and PositionDeann Brown (ADMINISTRATOR)
Authorized Official Contact4356768811
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 30180
Salt Lake City
UT 84130-0180

Ph: () -
25 S Redrock Dr
Cannonville
UT 84718-8001

Ph: (435) 679-8545

NPI Details:

NPI Number1013119155
Provider Enumeration Date06/01/2007
Last Update Date06/23/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6305744459
Medicare Enrollment IDO20050701000632

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013119155NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameMelinda Lee Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952008419
PECOS PAC ID: 1052766607
Enrollment ID: I20231017001988

Reviews and Comments


Clinic/Center in Cannonville, UT


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.