Kathryn R Dolan, FNP is a medicare enrolled "Nurse Practitioner - Family" in Chittenango, New York. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In and her current practice location is
153 W Genesee St, Chittenango, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 687-5100.
Kathryn R Dolan is licensed to practice in New York (license number F332436) 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 1326157223.
Provider's Profile
| Full Name | Kathryn R Dolan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 26 Years |
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| Location | 153 W Genesee St, Chittenango, New York |
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| Accepts Medicare Assignments | Yes. She 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:
- Kathryn R Dolan graduated from nursing school in 1998
NPI Data:
- NPI Number: 1326157223
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 4284815820
- Enrollment ID: I20110302000122
Medical Identifiers
Medical identifiers for Kathryn R Dolan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326157223 | NPI | - | NPPES |
| 02326709 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F332436 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In | 3274445796 | 239 |
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. Kathryn R Dolan allows following entities to bill medicare on her behalf.
| Entity Name | Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063468239
PECOS PAC ID: 3274445796
Enrollment ID: O20031104000051 |
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| Entity Name | Community Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932100393
PECOS PAC ID: 6103805163
Enrollment ID: O20040714001386 |
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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. Kathryn R 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 |
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Kathryn R Dolan, FNP
153 W Genesee St,
Chittenango, NY 13037-1528
Ph: (315) 687-5100 | Kathryn R Dolan, FNP
153 W Genesee St,
Chittenango, NY 13037-1528
Ph: (315) 687-5100 |
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