Dennis Matthew Dolan, CRNA, APRN, PMHNP-S is a medicare enrolled "Nurse Practitioner" physician in Clearwater, Florida. He went to University Of Cincinnati College Of Medicine and graduated in 2001 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Revitalist and his current practice location is
2325 Ulmerton Rd Ste 27, Clearwater, Florida. You can reach out to his office (for appointments etc.) via phone at
(833) 358-1539.
Dennis Matthew Dolan is licensed to practice in Florida (license number APRN9493678) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083773311.
Physician's Profile
| Full Name | Dennis Matthew Dolan |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 24 Years |
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| Location | 2325 Ulmerton Rd Ste 27, Clearwater, Florida |
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| Accepts Medicare Assignments | Yes. He 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:
- Dennis Matthew Dolan attended and graduated from University Of Cincinnati College Of Medicine in 2001
NPI Data:
- NPI Number: 1083773311
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 02/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 4385748623
- Enrollment ID: I20190328000858
Medical Identifiers
Medical identifiers for Dennis Matthew Dolan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083773311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | APRN9493678 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 9493678 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3732A (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | APRN9493678 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Revitalist | 6800295650 | 2 |
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. Dennis Matthew Dolan allows following entities to bill medicare on his behalf.
| Entity Name | Revitalist |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073168241
PECOS PAC ID: 6800295650
Enrollment ID: O20211202000426 |
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| Entity Name | Revitalist |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073168241
PECOS PAC ID: 6800295650
Enrollment ID: O20250417000165 |
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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. Dennis Matthew 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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Dennis Matthew Dolan, CRNA, APRN, PMHNP-S
250 115th Ave,
Treasure Island, FL 33706-4661
Ph: (502) 517-6218 | Dennis Matthew Dolan, CRNA, APRN, PMHNP-S
2325 Ulmerton Rd Ste 27,
Clearwater, FL 33762-3373
Ph: (833) 358-1539 |
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