Sue Ann Douglas, MD is a medicare enrolled "Dermatology" physician in Mission Woods, Kansas. Her current practice location is
2001 Shawnee Mission Pkwy Ste 130, Mission Woods, Kansas. You can reach out to her office (for appointments etc.) via phone at
(913) 228-2000.
Sue Ann Douglas is licensed to practice in Texas (license number M7958) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497750731
- Provider Enumeration Date: 06/14/2005
- Last Update Date: 04/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 5597845644
- Enrollment ID: I20080102000548
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 Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sue Ann Douglas allows following entities to bill medicare on her behalf.
Entity Name | Kelsey-seybold Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204 |
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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
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 |
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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