Kim Marie Mckinnon, NP - Medicare Nurse Practitioner in Sandy, UT

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.

Contact Information

Kim Marie Mckinnon, NP
45 W Sego Lily Dr Ste 312,
Sandy, UT 84070-3643
(801) 676-9452
(801) 206-9734



Physician's Profile

Full NameKim Marie Mckinnon
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location45 W Sego Lily Dr Ste 312, Sandy, Utah
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:
  • 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.
IdentifierTypeStateIssuer
1003302548NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 294366-4405 (Utah)Secondary
363LF0000XNurse Practitioner - Family 294366-8900 (Utah)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 294366-8900 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anderson Wellness Group Llc93355506313

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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 NameAnderson Wellness Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
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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