Bonnie Rae Sullivan, MD is a
Medical Genetics - Clinical Genetics (m.d.) physician based in Kansas City, Missouri. Bonnie Rae Sullivan is licensed to practice in Missouri (license number 2019020168) and her current practice location is 2401 Gillham Rd, Kansas City, Missouri. She can be reached at her office (for appointments etc.) via phone at
(501) 951-2775.
NPI number for Bonnie Rae Sullivan is 1275910366 and her current mailing address is 2401 Gillham Rd, Kansas City, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275910366.
Physician's Profile
Full Name | Bonnie Rae Sullivan |
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Gender | Female |
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Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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Location | 2401 Gillham Rd, Kansas City, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275910366
- Provider Enumeration Date: 04/28/2015
- Last Update Date: 10/08/2019
Medical Identifiers
Medical identifiers for Bonnie Rae Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275910366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 2019020168 (Missouri) | Secondary |
207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 2019020168 (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. Bonnie Rae 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 |
Bonnie Rae Sullivan, MD 2401 Gillham Rd, Kansas City, MO 64108-4619 Ph: () - | Bonnie Rae Sullivan, MD 2401 Gillham Rd, Kansas City, MO 64108-4619 Ph: (501) 951-2775 |
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