| Dr Michelle Marie Dolan, MD | |
|
420 Delaware Street Se, 760 Mayo Memorial Building, University Of Minnesota Physicians, Minneapolis, MN 55455 | |
| (612) 626-0622 | |
| (612) 626-2696 |
| Full Name | Dr Michelle Marie Dolan |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 33 Years |
| Location | 420 Delaware Street Se, 760 Mayo Memorial Building, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033140223 | NPI | - | NPPES |
| 160147400 | Medicaid | MN | |
| HP41076 | Other | MN | HEALTHPARTNERS |
| 140155 | Other | MN | UCARE |
| 009A5DO | Other | MN | BCBS |
| 1131521 | Other | MN | ARAZ |
| 1025646 | Other | MN | PREFERRED ONE |
| 11-00106 | Other | MN | MEDICA CHOICE & PRIMARY |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Hospital University | Minneapolis, MN | Hospital |
| M Health Fairview St John's Hospital | Maplewood, MN | Hospital |
| M Health Fairview Southdale Hospital | Edina, MN | Hospital |
| M Health Fairview Ridges Hospital | Burnsville, MN | Hospital |
| M Health Fairview Woodwinds Hospital | Woodbury, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Express Care | 3375645179 | 1946 |
| Entity Name | University of Minnesota Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811077175 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | University of Minnesota Health Clinics and Surgery Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michelle Marie Dolan, MD 420 Delaware Street Se, Mmc 669 University Of Minnesota Physicians, Minneapolis, MN 55455 Ph: (612) 626-0622 | Dr Michelle Marie Dolan, MD 420 Delaware Street Se, 760 Mayo Memorial Building, University Of Minnesota Physicians, Minneapolis, MN 55455 Ph: (612) 626-0622 |