Dana Alexandria Sullivan-green, DO is a
General Practice physician based in Little Rock Afb, Arkansas. Dana Alexandria Sullivan-green is licensed to practice in Arkansas (license number E-17201) and her current practice location is 1090 Arnold Dr, Little Rock Afb, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(501) 987-7319.
NPI number for Dana Alexandria Sullivan-green is 1598407447 and her current mailing address is 1090 Arnold Dr, Little Rock Afb, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598407447.
Physician's Profile
Full Name | Dana Alexandria Sullivan-green |
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Gender | Female |
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Speciality | General Practice |
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Location | 1090 Arnold Dr, Little Rock Afb, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598407447
- Provider Enumeration Date: 04/11/2022
- Last Update Date: 09/28/2023
Medical Identifiers
Medical identifiers for Dana Alexandria Sullivan-green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598407447 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | E-17201 (Arkansas) | 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. Dana Alexandria Sullivan-green 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 |
Dana Alexandria Sullivan-green, DO 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 Ph: (501) 987-7319 | Dana Alexandria Sullivan-green, DO 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 Ph: (501) 987-7319 |
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