<unavail> in Sandy, UT - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Sandy, Utah. The current practice location for is 893 E 9400 S, Sandy, Utah. For appointments, you can reach them via phone at (385) 335-7862. The mailing address for is 893 E 9400 S, Sandy, Utah and phone number is (385) 335-7862.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1235721879. 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 (385) 335-7862.

Contact Information


	893 E 9400 S Sandy UT 84094-3671
	(385) 335-7862
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	893 E 9400 S, Sandy, Utah
Authorized Official Name and Position	Lorena Cannon (OWNER / PROVIDER)
Authorized Official Contact	2083515458
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
893 E 9400 S Sandy UT 84094-3671 Ph: (385) 335-7862	893 E 9400 S Sandy UT 84094-3671 Ph: (385) 335-7862

NPI Details:

NPI Number	1235721879
Provider Enumeration Date	02/04/2021
Last Update Date	03/08/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	2365859477
Medicare Enrollment ID	O20210407000795

Medical Identifiers

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

Identifier	Type	State	Issuer
1235721879	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary
363L00000X	Nurse Practitioner	(* (Not Available))	Secondary

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 Name	Lorena Cannon
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1255992202 PECOS PAC ID: 6901213016 Enrollment ID: I20210510002449

Reviews and Comments

Clinic/Center in Sandy, UT

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- Medicare Primary Care in Sandy, UT