Mr Gary Wayne Gulickson, CRNA in Oklahoma City, OK - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Gary Wayne Gulickson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oklahoma City, Oklahoma. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Deaconess Anesthesia Services, Llc, Anesthesia Medical Professionals Pllc and his current practice location is 5501 N Portland Ave, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 604-6000.

Mr Gary Wayne Gulickson is licensed to practice in Oklahoma (license number 75560) 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 1316243850.

Contact Information

	Mr Gary Wayne Gulickson, CRNA
	5501 N Portland Ave, Oklahoma City, OK 73112-2074
	(405) 604-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Gary Wayne Gulickson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	5501 N Portland Ave, Oklahoma City, Oklahoma
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:

Mr Gary Wayne Gulickson graduated from nursing school in 2010

NPI Data:

NPI Number: 1316243850
Provider Enumeration Date: 02/01/2011
Last Update Date: 08/13/2015

Medicare PECOS Information:

PECOS PAC ID: 6002128915
Enrollment ID: I20150707001725

Medical Identifiers

Medical identifiers for Mr Gary Wayne Gulickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316243850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	75560 (Oklahoma)	Primary
367500000X	Nurse Anesthetist, Certified Registered	85310 (Texas)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Integris Baptist Medical Center, Inc	Oklahoma city, OK	Hospital
Integris Health Edmond	Edmond, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deaconess Anesthesia Services, Llc	0042587842	21
Anesthesia Medical Professionals Pllc	5991970279	90

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. Mr Gary Wayne Gulickson allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Medical Professionals Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962785931 PECOS PAC ID: 5991970279 Enrollment ID: O20111215000187

Entity Name	Deaconess Anesthesia Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912432048 PECOS PAC ID: 0042587842 Enrollment ID: O20170526001532

Entity Name	Western Oklahoma Anesthesia Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881102614 PECOS PAC ID: 4587924865 Enrollment ID: O20180206000663

Entity Name	Western Oklahoma Anesthesia Consultants Woodward Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427615731 PECOS PAC ID: 3779817960 Enrollment ID: O20190621000715

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. Mr Gary Wayne Gulickson 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
Mr Gary Wayne Gulickson, CRNA 4500 S Garnett Rd, Suite 300, Tulsa, OK 74146-5229 Ph: (844) 625-2312	Mr Gary Wayne Gulickson, CRNA 5501 N Portland Ave, Oklahoma City, OK 73112-2074 Ph: (405) 604-6000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Oklahoma City, OK

Traci Renee Wilmarth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9713 Lakecrest Dr, Oklahoma City, OK 73159 Phone: 405-213-5351
Paul Jason Bradley, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695
Michael Sean O'dell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000
Mr. Darryl W. Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1044 Sw 44th St, Oklahoma City, OK 73109 Phone: 405-431-9921
Ivan Kozhulenko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd Ste Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695
Jasilin Hall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000
Robert Lee Rawls, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9600 Broadway Ext, Oklahoma City, OK 73114 Phone: 405-715-3610 Fax: 405-715-3612

Mr Gary Wayne Gulickson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Oklahoma City, OK