Evan Michael Dolan, AA - Medicare Anesthesiologist Assistant in La Crosse, WI

Evan Michael Dolan, AA is a medicare enrolled "Anesthesiologist Assistant" in La Crosse, Wisconsin. His current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Evan Michael Dolan is licensed to practice in Wisconsin (license number 504) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841927282.

Contact Information

Evan Michael Dolan, AA
1836 South Ave,
La Crosse, WI 54601-5429
(608) 782-7300
Not Available



Provider's Profile

Full NameEvan Michael Dolan
GenderMale
SpecialityAnesthesiologist Assistant
Location1836 South Ave, La Crosse, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841927282
  • Provider Enumeration Date: 08/05/2022
  • Last Update Date: 09/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0648656785
  • Enrollment ID: I20220927003524

Medical Identifiers

Medical identifiers for Evan Michael Dolan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841927282NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 504 (Wisconsin)Primary

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. Evan Michael Dolan allows following entities to bill medicare on his behalf.
Entity NameGundersen Lutheran Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254

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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. Evan Michael 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
Evan Michael Dolan, AA
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300
Evan Michael Dolan, AA
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300

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Anesthesiologist Assistant Nurses in La Crosse, WI

Chi-seng Lam, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Stewart Nicholas Heaton, AA
Anesthesiologist Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Mrs. Tia M Morrison, MMSC
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Mr. James Alexander Morrison, AA-C
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Leanna Marie Duerst, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Mr. Matthew Gene Kopp Baker, AA-C
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Iyad A Saleh, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 800-362-9567    Fax: 608-775-6758

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