Mrs Holly K Gullickson, PT in Bend, OR - Medicare Physical Therapist Provider

Mrs Holly K Gullickson, PT is a medicare enrolled "Physical Therapist" provider in Bend, Oregon. Her current practice location is 915 Ne 7th St Ste 1, Bend, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 728-0974.

Mrs Holly K Gullickson is licensed to practice in Oregon (license number 4039) 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 1750365755.

Contact Information

	Mrs Holly K Gullickson, PT
	915 Ne 7th St Ste 1, Bend, OR 97701-4515
	(541) 728-0974
	(541) 728-0159

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Holly K Gullickson
Gender	Female
Speciality	Physical Therapist
Location	915 Ne 7th St Ste 1, Bend, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750365755
Provider Enumeration Date: 12/02/2005
Last Update Date: 01/28/2021

Medicare PECOS Information:

PECOS PAC ID: 1456301571
Enrollment ID: I20120510000401

Medical Identifiers

Medical identifiers for Mrs Holly K Gullickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750365755	NPI	-	NPPES
500652195	Medicaid	OR
8334831	Medicaid	WA
P01452484	Other	OR	RR MEDICARE PTAN
P01398074	Other	OR	RR MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT00007726 (Washington)	Secondary
225100000X	Physical Therapist	4039 (Oregon)	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 Holly K Gullickson allows following entities to bill medicare on her behalf.

Provider Name	Compass Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1104125194 PECOS PAC ID: 8729213947 Enrollment ID: O20131024000711

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 Holly K 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 Holly K Gullickson, PT 915 Ne 7th St Ste 1, Bend, OR 97701-4515 Ph: (541) 728-0974	Mrs Holly K Gullickson, PT 915 Ne 7th St Ste 1, Bend, OR 97701-4515 Ph: (541) 728-0974

Reviews and Comments

Physical Therapist in Bend, OR

Alpine Physical Therapy & Spine Care Physical Therapist Medicare: Medicare Enrolled Practice Location: 336 Sw Cyber Dr, Suite 107, Bend, OR 97702 Phone: 541-382-5500 Fax: 541-389-5669
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Jaqueline L Campagna, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321
Nikki Peirtsegaele, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2185 Nw Shevlin Park Rd, Bend, OR 97703 Phone: 541-728-0713
Craig Andrew Boswell, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 61615 Athletic Club Drive, Bend, OR 97702 Phone: 541-382-7890 Fax: 541-382-7498
Erik Zamboni, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1558 Sw Nancy Way, Suite 104, Bend, OR 97702 Phone: 541-312-2004

Mrs Holly K Gullickson, PT - Medicare Physical Therapist in Bend, OR