Dr Mark Stephan Dolz, DO is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Jacksonville, Illinois. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 1994 and has 30 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Valley Pathology, P.a. and 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 | Pathology |
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| Experience | 30 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 Des Moines University Of Osteopathic Medicine And Health Sciences in 1994
NPI Data:
- NPI Number: 1104833631
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4385606748
- Enrollment ID: I20171218002655
Medical Identifiers
Medical identifiers for Dr Mark Stephan Dolz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104833631 | NPI | - | NPPES |
| 0360944131 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Valley Pathology, P.a. | 2668516469 | 6 |
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. Dr Mark Stephan Dolz allows following entities to bill medicare on his behalf.
| Entity Name | Valley Pathology, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881929321
PECOS PAC ID: 2668516469
Enrollment ID: O20100217000403 |
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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. 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 |
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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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