Colleen Marie Dolan, NP is a medicare enrolled "Nurse Practitioner" physician in Ann Arbor, Michigan. Her current practice location is
1500 East Medical Center Dr, 12th Floor C.s. Mott Children's Hospital Rm 525, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 615-7845.
Colleen Marie Dolan is licensed to practice in Michigan (license number 4704238772) 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 1902233265.
Physician's Profile
Full Name | Colleen Marie Dolan |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1500 East Medical Center Dr, Ann Arbor, Michigan |
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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: 1902233265
- Provider Enumeration Date: 10/02/2013
- Last Update Date: 12/11/2018
Medicare PECOS Information:
- PECOS PAC ID: 0840429486
- Enrollment ID: I20140131000863
Medical Identifiers
Medical identifiers for Colleen Marie Dolan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902233265 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4704238772 (Michigan) | Secondary |
363L00000X | Nurse Practitioner | 4704238772 (Michigan) | 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. Colleen Marie Dolan allows following entities to bill medicare on her behalf.
Entity Name | Mark Leventer |
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Entity Type | Practitioner - Family Practice |
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Entity Identifiers | NPI Number: 1174637995 PECOS PAC ID: 0547396236 Enrollment ID: I20100406000173 |
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Entity Name | Regents Of The University Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447275102 PECOS PAC ID: 3779496856 Enrollment ID: O20031121000371 |
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Entity Name | Arbor Hospice, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447256003 PECOS PAC ID: 8628097920 Enrollment ID: O20051116000328 |
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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. Colleen Marie 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 |
Colleen Marie Dolan, NP 3621 S State St, Ann Arbor, MI 48108 Ph: (734) 647-5299 | Colleen Marie Dolan, NP 1500 East Medical Center Dr, 12th Floor C.s. Mott Children's Hospital Rm 525, Ann Arbor, MI 48109-4280 Ph: (734) 615-7845 |
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