| Nicole Ellen Dolan, DO | |
|
12150 30 Mile Rd, Ste 201, Washington Township, MI 48095-2035 | |
| (586) 336-2390 | |
| (586) 336-2381 |
| Full Name | Nicole Ellen Dolan |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 21 Years |
| Location | 12150 30 Mile Rd, Washington Township, Michigan |
| 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 |
|---|---|---|---|
| 1346464575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 5101016492 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Beaumont Troy Hospital | Troy, MI | Hospital |
| Corewell Health William Beaumont University Hospit | Royal oak, MI | Hospital |
| Henry Ford Health Macomb Hospital | Clinton township, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Macomb Hospital Corporation | 7911808381 | 349 |
| Oakland Macomb Obstetrics And Gynecology Pc | 4183673015 | 23 |
| Entity Name | William Beaumont Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083833875 PECOS PAC ID: 9335051093 Enrollment ID: O20031104000279 |
| Entity Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142 |
| Entity Name | Oakland Macomb Obstetrics & Gynecology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760424139 PECOS PAC ID: 4183673015 Enrollment ID: O20050119000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Ellen Dolan, DO 16360 26 Mile Rd, Macomb, MI 48042-1057 Ph: (586) 336-2390 | Nicole Ellen Dolan, DO 12150 30 Mile Rd, Ste 201, Washington Township, MI 48095-2035 Ph: (586) 336-2390 |
Andrea C Blake, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 57850 Van Dyke, Suite 150, Washington Township, MI 48307 Phone: 586-992-9567 Fax: 586-992-9568 |