Dr Alyssa Lynn Gullickson, DDS - Medicare Dentist in Avon, MN

  1. Home
  2. Dentists
  3. MN
  4. Avon
Dr Alyssa Lynn Gullickson, DDS is a medicare enrolled "Dentist" provider in Avon, Minnesota. Her current practice location is 308 Blattner Dr, Suite A, Avon, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 356-7374.

Dr Alyssa Lynn Gullickson is licensed to practice in Minnesota (license number D13077) 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 1013277094.

Contact Information

Dr Alyssa Lynn Gullickson, DDS
308 Blattner Dr, Suite A,
Avon, MN 56310-4531
(320) 356-7374
(320) 356-9427

Map and Direction




Healthcare Provider's Profile

Full NameDr Alyssa Lynn Gullickson
GenderFemale
SpecialityDentist
Location308 Blattner Dr, Avon, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013277094
  • Provider Enumeration Date: 05/23/2012
  • Last Update Date: 05/23/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1355661356
  • Enrollment ID: I20150514001286

Medical Identifiers

Medical identifiers for Dr Alyssa Lynn Gullickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013277094NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D13077 (Minnesota)Primary

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. Dr Alyssa Lynn 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 AddressPractice Location Address
Dr Alyssa Lynn Gullickson, DDS
23665 N Lakeshore Dr,
Glenwood, MN 56334-9375

Ph: (320) 808-4126		Dr Alyssa Lynn Gullickson, DDS
308 Blattner Dr, Suite A,
Avon, MN 56310-4531

Ph: (320) 356-7374

Reviews and Comments


Dentist in Avon, MN

Nicolette Therese Porttiin, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 308 Blattner Dr # A, Avon, MN 56310
Phone: 320-356-7374    
Kathleen M Moen, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 300 Avon Ave S, Suite F, Avon, MN 56310
Phone: 320-356-7374    Fax: 320-356-9427

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.