Dr Dennis James Sullivan Jr, MD is a
Surgery physician based in Odanah, Wisconsin. Dr Dennis James Sullivan Jr is licensed to practice in Wisconsin (license number 42911) and his current practice location is 72718 Maple Street, Odanah, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 682-7133.
NPI number for Dr Dennis James Sullivan Jr is 1447332952 and his current mailing address is Po Box 250, Odanah, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447332952.
Physician's Profile
| Full Name | Dr Dennis James Sullivan Jr |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 72718 Maple Street, Odanah, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447332952
- Provider Enumeration Date: 10/20/2006
- Last Update Date: 02/20/2008
Medical Identifiers
Medical identifiers for Dr Dennis James Sullivan Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447332952 | NPI | - | NPPES |
| 34021900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 42911 (Wisconsin) | Primary |
| 208600000X | Surgery | 43063 (Minnesota) | Secondary |
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. Dr Dennis James Sullivan Jr 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 |
|---|
Dr Dennis James Sullivan Jr, MD
Po Box 250,
Odanah, WI 54861-0250
Ph: (715) 682-7133 | Dr Dennis James Sullivan Jr, MD
72718 Maple Street,
Odanah, WI 54861-0250
Ph: (715) 682-7133 |
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