Donald R Gullicks, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Moorhead, Minnesota. He went to University Of North Dakota School Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Sanford Health Network North, Sanford Medical Center Fargo, Sanford Medical Center Fargo and his current practice location is
4000 28th Ave S, Moorhead, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(701) 234-3200.
Donald R Gullicks is licensed to practice in Minnesota (license number TP107788) 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 1619288602.
Physician's Profile
Full Name | Donald R Gullicks |
---|
Gender | Male |
---|
Speciality | Obstetrics/gynecology |
---|
Experience | 15 Years |
---|
Location | 4000 28th Ave S, Moorhead, Minnesota |
---|
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Donald R Gullicks attended and graduated from University Of North Dakota School Of Medicine in 2010
NPI Data:
- NPI Number: 1619288602
- Provider Enumeration Date: 06/24/2010
- Last Update Date: 10/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 4183851041
- Enrollment ID: I20140919001731
Medical Identifiers
Medical identifiers for Donald R Gullicks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619288602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 2010020741 (Missouri) | Secondary |
207V00000X | Obstetrics & Gynecology | TP107788 (Minnesota) | Primary |
207V00000X | Obstetrics & Gynecology | 13170 (North Dakota) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Sanford Health Network North | 8022206663 | 83 |
Sanford Medical Center Fargo | 8426967803 | 1085 |
Sanford Medical Center Fargo | 8426967803 | 1085 |
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. Donald R Gullicks allows following entities to bill medicare on his behalf.
Entity Name | Sanford Clinic North |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
---|
Entity Name | Sanford Medical Center Fargo |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
---|
Entity Name | Sanford Health Network North |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1366478760 PECOS PAC ID: 8022206663 Enrollment ID: O20171226001068 |
---|
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. Donald R Gullicks 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 |
Donald R Gullicks, MD Po Box 2168, Fargo, ND 58107-2168 Ph: (701) 234-2119 | Donald R Gullicks, MD 4000 28th Ave S, Moorhead, MN 56560-7926 Ph: (701) 234-3200 |
Reviews and Comments