Dolly Marie Coullard, NP-C - Medicare Nurse Practitioner in Brimley, MI

  1. Home
  2. Nurse Practitioner
  3. MI
  4. Brimley
Dolly Marie Coullard, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Brimley, Michigan. She graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bay Mills Indian Community and her current practice location is 12455 W Lakeshore Dr, Brimley, Michigan. You can reach out to her office (for appointments etc.) via phone at (906) 248-5527.

Dolly Marie Coullard is licensed to practice in Michigan (license number 4704261006) 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 1245516152.

Contact Information

Dolly Marie Coullard, NP-C
12455 W Lakeshore Dr,
Brimley, MI 49715-9403
(906) 248-5527
(906) 248-3866

Map and Direction




Provider's Profile

Full NameDolly Marie Coullard
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location12455 W Lakeshore Dr, Brimley, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dolly Marie Coullard graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1245516152
  • Provider Enumeration Date: 10/25/2011
  • Last Update Date: 01/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4284889536
  • Enrollment ID: I20130312000596

Medical Identifiers

Medical identifiers for Dolly Marie Coullard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245516152NPI-NPPES
4704261006OtherMISTATE LICENSURE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704261006 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chippewa County War Memorial HospitalSault sainte marie, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bay Mills Indian Community872907991811

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. Dolly Marie Coullard allows following entities to bill medicare on her behalf.
Entity NameBay Mills Indian Community
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053592089
PECOS PAC ID: 8729079918
Enrollment ID: O20040518000950

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. Dolly Marie Coullard 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 AddressPractice Location Address
Dolly Marie Coullard, NP-C
6151 S Mackinac Trl,
Sault Sainte Marie, MI 49783-8974

Ph: (906) 322-6702		Dolly Marie Coullard, NP-C
12455 W Lakeshore Dr,
Brimley, MI 49715-9403

Ph: (906) 248-5527

Reviews and Comments


Nurse Practitioner Nurses in Brimley, MI

Danielle Lynn Leblanc, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12455 W Lakeshore Dr.,, Brimley, MI 49715
Phone: 906-248-5527    
Wendy K Jamros, RNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12124 W Lakeshore Dr, Brimley, MI 49715
Phone: 906-248-3241    Fax: 906-248-3376
Karen Joy Perkins, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12124 W Lakeshore Dr, Brimley, MI 49715
Phone: 906-248-5527    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.