Sue Ann Douglas, MD is a
Dermatology physician based in Mission Woods, Kansas. Sue Ann Douglas is licensed to practice in Texas (license number M7958) and her current practice location is 2001 Shawnee Mission Pkwy Ste 130, Mission Woods, Kansas. She can be reached at her office (for appointments etc.) via phone at
(913) 228-2000.
NPI number for Sue Ann Douglas is 1497750731 and her current mailing address is 2001 Shawnee Mission Pkwy Ste 130, Mission Woods, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497750731.
Physician's Profile
| Full Name | Sue Ann Douglas |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 2001 Shawnee Mission Pkwy Ste 130, Mission Woods, Kansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497750731
- Provider Enumeration Date: 06/14/2005
- Last Update Date: 04/01/2020
Medical Identifiers
Medical identifiers for Sue Ann Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497750731 | NPI | - | NPPES |
| 194491002 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | M7958 (Texas) | 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. Sue Ann Douglas 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 |
|---|
Sue Ann Douglas, MD
2001 Shawnee Mission Pkwy Ste 130,
Mission Woods, KS 66205-2060
Ph: (913) 228-2000 | Sue Ann Douglas, MD
2001 Shawnee Mission Pkwy Ste 130,
Mission Woods, KS 66205-2060
Ph: (913) 228-2000 |
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