Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Madison Tiley Dolan, PA-C

Individual provider Physician Assistant · NPI 1487455176

Madison Tiley Dolan, PA-C is a Physician Assistant in Leawood, Kansas. Qualified in 2025, 1 year ago. Practices with Eye Care LLC, a 50-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11500 Granada St Ste 200
Leawood, KS 66211-1453
Phone: (816) 451-4095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1487455176
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 20, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address11500 Granada St Ste 200, Leawood, KS 66211-1453

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Eye Care Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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