Penny Sullivan, BENEFIT CORD is a
General Practice physician based in Rogers, Arkansas. Penny Sullivan is licensed to practice in Missouri (license number 440552485) and her current practice location is 2710 S Rife Medical Ln, Rogers, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(479) 338-3507.
NPI number for Penny Sullivan is 1760206825 and her current mailing address is 2710 S Rife Medical Ln, Rogers, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760206825.
Physician's Profile
| Full Name | Penny Sullivan |
|---|
| Gender | Female |
|---|
| Speciality | General Practice |
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| Location | 2710 S Rife Medical Ln, Rogers, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760206825
- Provider Enumeration Date: 11/14/2024
- Last Update Date: 11/14/2024
Medical Identifiers
Medical identifiers for Penny Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760206825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 440552485 (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. Penny 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 |
Penny Sullivan, BENEFIT CORD 2710 S Rife Medical Ln, Rogers, AR 72758-1452 Ph: (479) 338-3507 | Penny Sullivan, BENEFIT CORD 2710 S Rife Medical Ln, Rogers, AR 72758-1452 Ph: (479) 338-3507 |
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