Nicole Ellen Dolan, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Washington Township, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Henry Ford Macomb Hospital Corporation and her current practice location is
12150 30 Mile Rd, Ste 201, Washington Township, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 336-2390.
Nicole Ellen Dolan is licensed to practice in Michigan (license number 5101016492) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346464575.
Physician's Profile
| Full Name | Nicole Ellen Dolan |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 19 Years |
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| Location | 12150 30 Mile Rd, Washington Township, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Ellen Dolan attended and graduated from Michigan State University College Of Osteopathic Medicine in 2005
NPI Data:
- NPI Number: 1346464575
- Provider Enumeration Date: 04/12/2007
- Last Update Date: 02/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880746395
- Enrollment ID: I20090714000745
Medical Identifiers
Medical identifiers for Nicole Ellen Dolan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346464575 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 5101016492 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Henry Ford Macomb Hospital Corporation | 7911808381 | 276 |
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. Nicole Ellen Dolan allows following entities to bill medicare on her behalf.
| Entity Name | Henry Ford Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790856235
PECOS PAC ID: 0547178311
Enrollment ID: O20031111000061 |
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| Entity Name | Henry Ford Macomb Hospital Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134265986
PECOS PAC ID: 7911808381
Enrollment ID: O20040119000142 |
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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. Nicole Ellen Dolan 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 |
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Nicole Ellen Dolan, DO
16360 26 Mile Road,
Macomb Township, MI 48042
Ph: (586) 336-2390 | Nicole Ellen Dolan, DO
12150 30 Mile Rd, Ste 201,
Washington Township, MI 48095-2035
Ph: (586) 336-2390 |
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