Kristopher Dolehanty, PA-C - Medicare Physician Assistant in Kennesaw, GA

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Kristopher Dolehanty, PA-C is a medicare enrolled "Physician Assistant" in Kennesaw, Georgia. He went to Nebraska College Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Primary Care Pllc, Minuteclinic Llc and his current practice location is 2782 N Cobb Pkwy, Kennesaw, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 420-1092.

Kristopher Dolehanty is licensed to practice in Georgia (license number 10809) 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 1487148268.

Contact Information

Kristopher Dolehanty, PA-C
2782 N Cobb Pkwy,
Kennesaw, GA 30152-3472
(770) 420-1092
Not Available

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Provider's Profile

Full NameKristopher Dolehanty
GenderMale
SpecialityPhysician Assistant
Experience8 Years
Location2782 N Cobb Pkwy, Kennesaw, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristopher Dolehanty attended and graduated from Nebraska College Of Medicine in 2018
  NPI Data:
  • NPI Number: 1487148268
  • Provider Enumeration Date: 06/15/2018
  • Last Update Date: 07/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1254780281
  • Enrollment ID: I20241127001804

Medical Identifiers

Medical identifiers for Kristopher Dolehanty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487148268NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 10809 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Primary Care Pllc094164216919
Minuteclinic Llc6709850241576

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. Kristopher Dolehanty allows following entities to bill medicare on his behalf.
Entity NamePeachtree Immediate Care FP, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437194156
PECOS PAC ID: 3274559323
Enrollment ID: O20051019000049
Entity NameMinuteclinic LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134191836
PECOS PAC ID: 6709850241
Enrollment ID: O20051024000186
Entity NamePrimary Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770354763
PECOS PAC ID: 0941642169
Enrollment ID: O20241106000482

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. Kristopher Dolehanty 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
Kristopher Dolehanty, PA-C
2782 N Cobb Pkwy,
Kennesaw, GA 30152-3472

Ph: (770) 420-1092		Kristopher Dolehanty, PA-C
2782 N Cobb Pkwy,
Kennesaw, GA 30152-3472

Ph: (770) 420-1092

Reviews and Comments


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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.