Mrs Kerri Lee Gullickson, OTR in Appleton, WI - Medicare Occupational Therapist Provider

Mrs Kerri Lee Gullickson, OTR is a medicare enrolled "Occupational Therapist" provider in Appleton, Wisconsin. Her current practice location is 325 E Florida Ave, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 731-7310.

Mrs Kerri Lee Gullickson is licensed to practice in Wisconsin (license number 3010-026) 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 1194984807.

Contact Information

	Mrs Kerri Lee Gullickson, OTR
	325 E Florida Ave, Appleton, WI 54911-1325
	(920) 731-7310
	(920) 733-3050

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kerri Lee Gullickson
Gender	Female
Speciality	Occupational Therapist
Location	325 E Florida Ave, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194984807
Provider Enumeration Date: 06/06/2008
Last Update Date: 06/06/2008

Medicare PECOS Information:

PECOS PAC ID: 7416317169
Enrollment ID: I20230713001628

Medical Identifiers

Medical identifiers for Mrs Kerri Lee Gullickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194984807	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	3010-026 (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. Mrs Kerri Lee Gullickson allows following entities to bill medicare on her behalf.

Provider Name	Paxxon Healthcare Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003174087 PECOS PAC ID: 8325959554 Enrollment ID: O20130917000750

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. Mrs Kerri Lee Gullickson 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
Mrs Kerri Lee Gullickson, OTR 325 E Florida Ave, Appleton, WI 54911-1325 Ph: (920) 731-7310	Mrs Kerri Lee Gullickson, OTR 325 E Florida Ave, Appleton, WI 54911-1325 Ph: (920) 731-7310

Reviews and Comments

Occupational Therapist in Appleton, WI

Laura Hintz, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Tri Park Way, Suite A, Appleton, WI 54914 Phone: 920-830-6697 Fax: 920-830-6707
Lori J Schaetz, OTR, CLT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2600 S Heritage Woods Dr, Appleton, WI 54915 Phone: 920-545-6806 Fax: 920-225-7825
Kara L Fitzgerald, MS,OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2600 S Heritage Woods Dr, Appleton, WI 54915 Phone: 920-225-7763
Jenna Lynn Gengler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 E South River St, Appleton, WI 54915 Phone: 920-997-8828
Mrs. Angela Gehrt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3303 W Twin Willow Ct, Appleton, WI 54914 Phone: 229-854-2220
Melissa L Adelman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Tri Park Way, Suite A, Appleton, WI 54914 Phone: 920-830-6697 Fax: 920-830-6707
Ms. Jan C Klemp, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-738-2254

Mrs Kerri Lee Gullickson, OTR - Medicare Occupational Therapist in Appleton, WI