Dennis Matthew Dolan, CRNA, APRN, PMHNP-S in Clearwater, FL - Medicare Certified Registered Nurse Anesthetist (crna)

Dennis Matthew Dolan, CRNA, APRN, PMHNP-S is a medicare enrolled "Nurse Practitioner" in Clearwater, Florida. He went to University Of Cincinnati College Of Medicine and graduated in 2001 and has 25 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Revitalist, Valor Health Solutions and his current practice location is 4625 E Bay Dr Ste 103, Clearwater, Florida. You can reach out to his office (for appointments etc.) via phone at (888) 214-2144.

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.

Contact Information

	Dennis Matthew Dolan, CRNA, APRN, PMHNP-S
	4625 E Bay Dr Ste 103, Clearwater, FL 33764-6866
	(888) 214-2144
	(866) 693-2298

Map and Direction

Provider's Profile

Full Name	Dennis Matthew Dolan
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	25 Years
Location	4625 E Bay Dr Ste 103, Clearwater, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

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: 05/22/2026

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
367500000X	Nurse Anesthetist, Certified Registered	9493678 (Florida)	Secondary
363L00000X	Nurse Practitioner	APRN9493678 (Florida)	Primary
207L00000X	Anesthesiology	APRN9493678 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	3732A (Kentucky)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Revitalist	6800295650	5
Valor Health Solutions	3375036924	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
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073168241 PECOS PAC ID: 6800295650 Enrollment ID: O20211202000426

Entity Name	Revitalist
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073168241 PECOS PAC ID: 6800295650 Enrollment ID: O20250417000165

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
Dennis Matthew Dolan, CRNA, APRN, PMHNP-S 119 Mandolin Dr, Winter Haven, FL 33884-3581 Ph: (888) 214-2144	Dennis Matthew Dolan, CRNA, APRN, PMHNP-S 4625 E Bay Dr Ste 103, Clearwater, FL 33764-6866 Ph: (888) 214-2144

Reviews and Comments

Nurse Practitioner Nurses in Clearwater, FL

Mrs. Deborah Cook Lauman, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14128 Spoonbill Ln, Clearwater, FL 33762 Phone: 727-481-7339
Alyssa Benson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14100 58th St N, Clearwater, FL 33760 Phone: 727-824-8181
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Mrs. Pearl Owusu-bugyei, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 Druid Rd E, Clearwater, FL 33756 Phone: 727-824-8181
Twyla Newman, MS Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1437 S Belcher Rd, Clearwater, FL 33764 Phone: 727-524-4464
Kimberly Erin Mazlin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29750 Us Highway 19 N Ste 101, Clearwater, FL 33761 Phone: 727-786-5058
Crystal Garcia, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1632 Clearwater Largo Rd # 5407, Clearwater, FL 33756 Phone: 239-628-2889

Dennis Matthew Dolan, CRNA, APRN, PMHNP-S - Medicare Certified Registered Nurse Anesthetist (crna) in Clearwater, FL