Dr Mark Stephan Dolz, DO is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Jacksonville, Illinois. His current practice location is
1600 W Walnut, Passavant Area Hospital - Laboratory, Jacksonville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 245-9541.
Dr Mark Stephan Dolz is licensed to practice in Illinois (license number ) 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 1104833631.
Physician's Profile
| Full Name | Dr Mark Stephan Dolz |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1600 W Walnut, Jacksonville, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mark Stephan Dolz attended and graduated from in
NPI Data:
- NPI Number: 1104833631
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Mark Stephan Dolz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104833631 | NPI | - | NPPES |
| 0360944131 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | (Illinois) | Primary |
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. Dr Mark Stephan Dolz 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 |
|---|
Dr Mark Stephan Dolz, DO
6450 Reliable Parkway,
Chicago, IL 60686
Ph: (217) 788-3000 | Dr Mark Stephan Dolz, DO
1600 W Walnut, Passavant Area Hospital - Laboratory,
Jacksonville, IL 62650
Ph: (217) 245-9541 |
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