Kenneth Sullivan, DMD in Cape Girardeau, MO

Kenneth Sullivan, DMD is a medicare enrolled "Dentist" provider in Cape Girardeau, Missouri. His current practice location is 2439 Bloomfield Rd, Cape Girardeau, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 335-5199.

Kenneth Sullivan is licensed to practice in Missouri (license number 2006013084) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689756272.

Contact Information

	Kenneth Sullivan, DMD
	2439 Bloomfield Rd, Cape Girardeau, MO 63703-6415
	(573) 335-5199
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth Sullivan
Gender	Male
Speciality	Dentist
Location	2439 Bloomfield Rd, Cape Girardeau, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689756272
Provider Enumeration Date: 10/20/2006
Last Update Date: 09/10/2008

Medicare PECOS Information:

PECOS PAC ID: 3870812175
Enrollment ID: I20170417000047

Medical Identifiers

Medical identifiers for Kenneth Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689756272	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2006013084 (Missouri)	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. Kenneth Sullivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kenneth Sullivan, DMD 2439 Bloomfield Rd, Cape Girardeau, MO 63703-6415 Ph: (573) 335-5199	Kenneth Sullivan, DMD 2439 Bloomfield Rd, Cape Girardeau, MO 63703-6415 Ph: (573) 335-5199

Reviews and Comments

Dentist in Cape Girardeau, MO

Dr. Ashley Wiest Mills, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Ross A Bennett Dds Pc Bennett Family Dentistry, 989 N. Mount Auburn Rd., Cape Girardeau, MO 63701 Phone: 573-334-8013 Fax: 573-334-4101
Dr. Dominique Glennon Harter, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2857 Independence St, Cape Girardeau, MO 63703 Phone: 573-335-4646
Charlene L Minton, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 408 S Broadview St, Cape Girardeau, MO 63703 Phone: 573-332-0808 Fax: 573-339-7945
Randal Begley, Dentist Medicare: Medicare Enrolled Practice Location: 53 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-335-0300
Philip Junho Lee, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3070 William St, Cape Girardeau, MO 63703 Phone: 573-290-3111
Dr. John Michael Freeze, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2857 Independence St, Cape Girardeau, MO 63703 Phone: 573-335-4646 Fax: 573-335-3340
Dr. Richard J Swartz, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1367 N Mount Auburn Rd, Cape Girardeau, MO 63701 Phone: 573-334-3131 Fax: 573-334-4275

Kenneth Sullivan, DMD - Medicare Dentist in Cape Girardeau, MO