Dr Garrett Gray Sullivan, MD is a
Family Medicine physician based in Westwood, Kansas. Dr Garrett Gray Sullivan is licensed to practice in Kansas (license number 04-33297) and his current practice location is 2800 W 51st St, Westwood, Kansas. He can be reached at his office (for appointments etc.) via phone at
(913) 626-0254.
NPI number for Dr Garrett Gray Sullivan is 1740300094 and his current mailing address is 2800 W 51st St, Westwood, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740300094.
Physician's Profile
| Full Name | Dr Garrett Gray Sullivan |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
|---|
| Location | 2800 W 51st St, Westwood, Kansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1740300094
- Provider Enumeration Date: 03/30/2007
- Last Update Date: 03/04/2016
Medical Identifiers
Medical identifiers for Dr Garrett Gray Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740300094 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 04-33297 (Kansas) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 2014012167 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 04-33297 (Kansas) | Primary |
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. Dr Garrett Gray Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Garrett Gray Sullivan, MD
2800 W 51st St,
Westwood, KS 66205-1747
Ph: (913) 626-0254 | Dr Garrett Gray Sullivan, MD
2800 W 51st St,
Westwood, KS 66205-1747
Ph: (913) 626-0254 |
Reviews and Comments