Mckenzie Diane Canon, APRN - Medicare Advanced Practice Midwife in Nashville, TN

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.

Contact Information

Mckenzie Diane Canon, APRN
3601 The Vanderbilt Clinic,
Nashville, TN 37232-8162
(615) 322-5000
Not Available



Physician's Profile

Full NameMckenzie Diane Canon
GenderFemale
SpecialityAdvanced Practice Midwife
Location3601 The Vanderbilt Clinic, Nashville, Tennessee
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1023799327NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 34246 (Tennessee)Secondary
367A00000XAdvanced 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 NameVanderbilt University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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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