Gregory Leo Gullickson, PH D in Iowa City, IA - Medicare Psychologist Provider

Gregory Leo Gullickson, PH D is a medicare enrolled "Psychologist" provider in Iowa City, Iowa. His current practice location is 200 Hawkins Dr, Iowa City, Iowa. You can reach out to his office (for appointments etc.) via phone at (319) 356-4200.

Gregory Leo Gullickson is licensed to practice in Iowa (license number 00314) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023120276.

Contact Information

	Gregory Leo Gullickson, PH D
	200 Hawkins Dr, Iowa City, IA 52242-1009
	(319) 356-4200
	(319) 353-8383

Map and Direction

Healthcare Provider's Profile

Full Name	Gregory Leo Gullickson
Gender	Male
Speciality	Psychologist
Location	200 Hawkins Dr, Iowa City, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023120276
Provider Enumeration Date: 08/31/2006
Last Update Date: 11/10/2023

Medicare PECOS Information:

PECOS PAC ID: 3072706191
Enrollment ID: I20101021001011

Medical Identifiers

Medical identifiers for Gregory Leo Gullickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023120276	NPI	-	NPPES
31191	Other	IA	BCBS IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	00314 (Iowa)	Secondary
103TC1900X	Psychologist - Counseling	00772 (Iowa)	Secondary
103TP2701X	Psychologist - Group Psychotherapy	00314 (Iowa)	Secondary
103T00000X	Psychologist	00314 (Iowa)	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. Gregory Leo Gullickson allows following entities to bill medicare on his behalf.

Entity Name	State University Of Iowa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060

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. Gregory Leo 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
Gregory Leo Gullickson, PH D 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-4200	Gregory Leo Gullickson, PH D 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-4200

Reviews and Comments

Psychologist in Iowa City, IA

Dr. Katherine Hadlandsmyth, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-335-6589
Hannah Jean Ottmar, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 601 Highway 6 W, Iowa City, IA 52246 Phone: 319-338-0581
Dr. Jessica Sarah Armer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 601 Highway 6 W, Iowa City, IA 52246 Phone: 319-338-0581
Dr. Virginia Lee Stamler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 123 N Linn St, Suite 2c, Iowa City, IA 52245 Phone: 319-354-7394 Fax: 319-354-0939
Dr. Rhonda Murray Mobley, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 601 Highway 6 W, Iowa City, IA 52246 Phone: 319-338-0581
Wayne Bowers, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-353-6301 Fax: 319-356-2587

Gregory Leo Gullickson, PH D - Medicare Psychologist in Iowa City, IA