MARLENE MARIE KENNERLY MD
NPI 1679541239
Family Medicine in Canton, MI

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
6100 N HAGGERTY RD, CANTON, MI 48187(734) 981-3200 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marlene Marie Kennerly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLENE MARIE KENNERLY MD (NPI 1679541239) is an individual family medicine provider in Canton, Michigan, licensed in Michigan (4301070554) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1679541239
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARLENE MARIE KENNERLYCredential: MD
Location Address6100 N HAGGERTY RDCanton, MI 48187-3683
Mailing Address6100 N Haggerty RdCanton, MI 48187-3683 · (734) 454-8001
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1997
Enumeration DateMarch 9, 2006
Last NPPES UpdateJanuary 27, 2021
NPPES CertifiedJanuary 10, 2021
NPI 1679541239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301070554
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6100 N HAGGERTY RD, Canton, MI 48187

Secondary Practice Location 1

Location 17300 N Canton Center RdCanton, MI 48187-1579 · Phone (734) 454-8001

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marlene Marie Kennerly Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628051562
PECOS Enrollment IDI20040610001405
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services50 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
31 services31 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48187 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$196.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
6100 N HAGGERTY RD
CANTON, MI 48187
Pharmacy Technician
6100 N HAGGERTY RD
CANTON, MI 48187
Pharmacist
6100 N HAGGERTY RD, CANTON MEDICAL CENTER PHARMACY
CANTON, MI 48187
Pharmacist
6100 N HAGGERTY RD
CANTON, MI 48187
Internal Medicine
6100 N HAGGERTY RD
CANTON, MI 48187
Pharmacist (Ambulatory Care)
6100 N HAGGERTY RD
CANTON, MI 48187
Family Medicine
6100 N HAGGERTY RD
CANTON, MI 48187

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679541239, enumerated as an "individual" on March 09, 2006.

The provider is located at 6100 N HAGGERTY RD CANTON, MI 48187 and the phone number is (734) 981-3200.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Marlene Kennerly is affiliated with: HENRY FORD HEALTH HOSPITAL and HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL.