Damian Francis Dolan, MD | |
85 N Grand Ave, Fort Thomas, KY 41075-1793 | |
(859) 572-3232 | |
(859) 572-3727 |
Full Name | Damian Francis Dolan |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 39 Years |
Location | 85 N Grand Ave, Fort Thomas, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609858612 | NPI | - | NPPES |
50019772 | Other | PASSPORT HEALTH | |
00000077646 | Other | ANTHEM BLUE SHIELD | |
0790934 | Medicaid | OH | |
64037930 | Medicaid | KY | |
000000542722 | Other | ANTHEM | |
200366080 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 35060078D (Ohio) | Secondary |
207L00000X | Anesthesiology | 38010 (Kentucky) | Primary |
174400000X | Specialist | 38010 (Kentucky) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Florence | Florence, KY | Hospital |
St Elizabeth Edgewood | Edgewood, KY | Hospital |
St Elizabeth Ft Thomas | Fort thomas, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Group Practice Inc | 1254245137 | 368 |
Anesthesia Group Practice Inc | 1254245137 | 368 |
Entity Name | Anesthesia Group Practice Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20151204001398 |
Mailing Address | Practice Location Address |
---|---|
Damian Francis Dolan, MD 20 Medical Village Dr, Suite 258, Edgewood, KY 41017-5401 Ph: (859) 341-7246 | Damian Francis Dolan, MD 85 N Grand Ave, Fort Thomas, KY 41075-1793 Ph: (859) 572-3232 |
Soon Park, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 513-672-3309 Fax: 513-672-3323 | |
Lydia Chantilas, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 513-672-3309 Fax: 513-672-3323 | |
Arturo Sia, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 513-672-3309 Fax: 513-672-3323 |