| Monica K Sullivan, MD | |
|
1955 Dixie Hwy Ste N, Ft Wright, KY 41011-2792 | |
| (859) 341-6255 | |
| (859) 547-1197 |
| Full Name | Monica K Sullivan |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1955 Dixie Hwy Ste N, Ft Wright, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023257086 | NPI | - | NPPES |
| 7100163510 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 43346 (Kentucky) | Primary |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Entity Name | St Elizabeth Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932187937 PECOS PAC ID: 0648174623 Enrollment ID: O20031121000206 |
| Entity Name | The Christ Hospital Health Network Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477867208 PECOS PAC ID: 9931388246 Enrollment ID: O20180202001601 |
| Mailing Address | Practice Location Address |
|---|---|
| Monica K Sullivan, MD 1955 Dixie Hwy Ste N, Ft Wright, KY 41011-2792 Ph: (859) 341-6255 | Monica K Sullivan, MD 1955 Dixie Hwy Ste N, Ft Wright, KY 41011-2792 Ph: (859) 341-6255 |
Jeremy M Johnston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1955 Dixie Hwy, Ft Wright, KY 41011 Phone: 859-341-6255 Fax: 859-547-1197 | |
Benjamin Paul Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1955 Dixie Hwy Ste N, Ft Wright, KY 41011 Phone: 859-341-6255 Fax: 859-547-1197 | |
Shelby Michael Gardner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1955 Dixie Hwy, Ft Wright, KY 41011 Phone: 859-341-6255 Fax: 859-547-1197 | |
Sheena Boury, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1717 Dixie Hwy Ste 970, Ft Wright, KY 41011 Phone: 859-320-9300 Fax: 859-320-9301 | |
Maria Burton, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1955 Dixie Hwy Ste N, Ft Wright, KY 41011 Phone: 859-341-6255 Fax: 859-547-1197 | |
Dr. Augusta Malin Rawlins-rader, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1955 Dixie Hwy, Ft Wright, KY 41011 Phone: 859-341-5757 Fax: 859-331-4757 |