Nicole Ellen Dolan, DO - Medicare Obstetrics/gynecology in Washington Township, MI

Nicole Ellen Dolan, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Washington Township, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Henry Ford Macomb Hospital Corporation and her current practice location is 12150 30 Mile Rd, Ste 201, Washington Township, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 336-2390.

Nicole Ellen Dolan is licensed to practice in Michigan (license number 5101016492) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346464575.

Contact Information

Nicole Ellen Dolan, DO
12150 30 Mile Rd, Ste 201,
Washington Township, MI 48095-2035
(586) 336-2390
(586) 336-2381

Map and Direction




Physician's Profile

Full NameNicole Ellen Dolan
GenderFemale
SpecialityObstetrics/gynecology
Experience19 Years
Location12150 30 Mile Rd, Washington Township, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Ellen Dolan attended and graduated from Michigan State University College Of Osteopathic Medicine in 2005
  NPI Data:
  • NPI Number: 1346464575
  • Provider Enumeration Date: 04/12/2007
  • Last Update Date: 02/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4880746395
  • Enrollment ID: I20090714000745

Medical Identifiers

Medical identifiers for Nicole Ellen Dolan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346464575NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 5101016492 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford Macomb HospitalClinton township, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Macomb Hospital Corporation7911808381285

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. Nicole Ellen Dolan allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790856235
PECOS PAC ID: 0547178311
Enrollment ID: O20031111000061
Entity NameHenry Ford Macomb Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134265986
PECOS PAC ID: 7911808381
Enrollment ID: O20040119000142

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. Nicole Ellen 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 AddressPractice Location Address
Nicole Ellen Dolan, DO
16360 26 Mile Road,
Macomb Township, MI 48042

Ph: (586) 336-2390
Nicole Ellen Dolan, DO
12150 30 Mile Rd, Ste 201,
Washington Township, MI 48095-2035

Ph: (586) 336-2390

Reviews and Comments


Obstetrics & Gynecology Doctors in Washington Township, MI

Andrea C Blake, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 57850 Van Dyke, Suite 150, Washington Township, MI 48307
Phone: 586-992-9567    Fax: 586-992-9568

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.