| Phyllis L Sullivan, DO | |
|
7405 Renner Rd, Ku Medwest, Shawnee, KS 66217-9414 | |
| (913) 588-8400 | |
| (913) 588-8413 |
| Full Name | Phyllis L Sullivan |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 7405 Renner Rd, Shawnee, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386686434 | NPI | - | NPPES |
| 481159444 | Other | JAYHAWK TAX ID | |
| 100231070B | Medicaid | KS | |
| 10001636401 | Other | CHP PROVIDER NUMBER | |
| 326972 | Other | FIRSTGUARD | |
| P00052983 | Other | RR MEDICARE | |
| 13470888 | Other | BCBS | |
| 157695XX | Other | PREFERRED CARE OF NY | |
| 25562039 | Other | BCBS KUMW UC | |
| 4331498 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05-24472 (Kansas) | Primary |
| 207Q00000X | Family Medicine | R1H49 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis L Sullivan, DO 2330 Shawnee Mission Pkwy, Medical Administrative Services Of Ku Med, Ste. 312, Westwood, KS 66205-2005 Ph: (913) 588-9000 | Phyllis L Sullivan, DO 7405 Renner Rd, Ku Medwest, Shawnee, KS 66217-9414 Ph: (913) 588-8400 |
Maria Palmeri, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 Long Ave, Shawnee, KS 66216 Phone: 913-631-6400 Fax: 913-631-6868 | |
Jolene Kim, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7405 Renner Rd, Shawnee, KS 66217 Phone: 913-588-8465 | |
Susan K Fajardo, R.P.A.C. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 Long St, Shawnee, KS 66216 Phone: 913-631-6400 Fax: 913-631-6868 | |
Girma T. Assefa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7405 Renner Rd, Shawnee, KS 66217 Phone: 913-588-2200 Fax: 816-737-0477 | |
Dr. Nicholas Joseph Michalski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11644 W 75th St, Suite 3, Shawnee, KS 66214 Phone: 913-962-4004 Fax: 913-962-6817 | |
Dr. George J Bures Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7255 Renner Rd., Shawnee, KS 66217 Phone: 913-248-3233 Fax: 913-248-1336 | |
Dr. Philip Eugene Martin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226 Phone: 913-632-9600 Fax: 913-632-9695 |