Bridget Reid Dolan, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Fayetteville, North Carolina. Her current practice location is
1991 Fordham Dr Ste 200, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 423-7400.
Bridget Reid Dolan is licensed to practice in North Carolina (license number 5017229) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912615360.
Physician's Profile
Full Name | Bridget Reid Dolan |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 1991 Fordham Dr Ste 200, Fayetteville, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912615360
- Provider Enumeration Date: 11/14/2022
- Last Update Date: 01/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365813326
- Enrollment ID: I20230130002331
Medical Identifiers
Medical identifiers for Bridget Reid Dolan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912615360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0202X | Pediatrics - Pediatric Cardiology | 239900 (North Carolina) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 5017229 (North Carolina) | Primary |
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. Bridget Reid Dolan allows following entities to bill medicare on her behalf.
Entity Name | Private Diagnostic Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
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Entity Name | Duke Health Integrated Practice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
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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. Bridget Reid 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 |
Bridget Reid Dolan, NP Po Box 110566, Durham, NC 27709-5566 Ph: (919) 620-4855 | Bridget Reid Dolan, NP 1991 Fordham Dr Ste 200, Fayetteville, NC 28304-3774 Ph: (910) 423-7400 |
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