Elizabeth Gullicksrud, OTR/L in La Crosse, WI - Medicare Occupational Therapist Provider

Elizabeth Gullicksrud, OTR/L is a medicare enrolled "Occupational Therapist" provider in La Crosse, Wisconsin. Her current practice location is 901 Caledonia St, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 786-1600.

Elizabeth Gullicksrud is licensed to practice in Wisconsin (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780250233.

Contact Information

	Elizabeth Gullicksrud, OTR/L
	901 Caledonia St, La Crosse, WI 54603-2616
	(608) 786-1600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Gullicksrud
Gender	Female
Speciality	Occupational Therapist
Location	901 Caledonia St, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780250233
Provider Enumeration Date: 06/03/2021
Last Update Date: 03/04/2024

Medicare PECOS Information:

PECOS PAC ID: 2769866177
Enrollment ID: I20220902002642

Medical Identifiers

Medical identifiers for Elizabeth Gullicksrud such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780250233	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(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. Elizabeth Gullicksrud allows following entities to bill medicare on her behalf.

Provider Name	Partners In Excellence, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1467598730 PECOS PAC ID: 8820312366 Enrollment ID: O20150730011079

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. Elizabeth Gullicksrud 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
Elizabeth Gullicksrud, OTR/L 206 Irene Pl, Holmen, WI 54636-9733 Ph: (507) 720-4060	Elizabeth Gullicksrud, OTR/L 901 Caledonia St, La Crosse, WI 54603-2616 Ph: (608) 786-1600

Reviews and Comments

Occupational Therapist in La Crosse, WI

Lauren A Hutchins, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2022 State St, La Crosse, WI 54601 Phone: 270-559-3025
Ashley Rickaway, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Robert L Bobenmoyer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Kathryn L. Bakke, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940
Kristin G Tancil, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-791-9768 Fax: 608-791-7124
Mrs. Janet M Manders, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1407 Saint Andrew St Ste 100, La Crosse, WI 54603 Phone: 800-439-7012
Jodi Lynn Langenhorst, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4605 Brickyard Ln, La Crosse, WI 54601 Phone: 608-787-6686

Elizabeth Gullicksrud, OTR/L - Medicare Occupational Therapist in La Crosse, WI