Dr Dennis Michael Sullivan, MD is a
General Practice physician based in Beavercreek, Ohio. Dr Dennis Michael Sullivan is licensed to practice in Ohio (license number 35-045646) and his current practice location is 308 Melanie Ct, Beavercreek, Ohio. He can be reached at his office (for appointments etc.) via phone at
(937) 426-0597.
NPI number for Dr Dennis Michael Sullivan is 1225354004 and his current mailing address is 308 Melanie Ct, Beavercreek, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225354004.
Physician's Profile
Full Name | Dr Dennis Michael Sullivan |
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Gender | Male |
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Speciality | General Practice |
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Location | 308 Melanie Ct, Beavercreek, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225354004
- Provider Enumeration Date: 04/19/2010
- Last Update Date: 04/19/2010
Medical Identifiers
Medical identifiers for Dr Dennis Michael Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225354004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 35-045646 (Ohio) | 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. Dr Dennis Michael 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 |
Dr Dennis Michael Sullivan, MD 308 Melanie Ct, Beavercreek, OH 45434-6220 Ph: (937) 426-0597 | Dr Dennis Michael Sullivan, MD 308 Melanie Ct, Beavercreek, OH 45434-6220 Ph: (937) 426-0597 |
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