Dr Donald Albert Gullickson, MD in Lander, WY

Dr Donald Albert Gullickson, MD is a medicare enrolled "Internal Medicine" physician in Lander, Wyoming. His current practice location is 745 Buena Vista Dr, Lander, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 332-2941.

Dr Donald Albert Gullickson is licensed to practice in Wyoming (license number 2072A) 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 1497840110.

Contact Information

	Dr Donald Albert Gullickson, MD
	745 Buena Vista Dr, Lander, WY 82520-3431
	(307) 332-2941
	(307) 332-2068

Map and Direction

Physician's Profile

Full Name	Dr Donald Albert Gullickson
Gender	Male
Speciality	Internal Medicine
Location	745 Buena Vista Dr, Lander, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497840110
Provider Enumeration Date: 10/04/2006
Last Update Date: 01/31/2020

Medicare PECOS Information:

PECOS PAC ID: 6204804529
Enrollment ID: I20040923000529

Medical Identifiers

Medical identifiers for Dr Donald Albert Gullickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497840110	NPI	-	NPPES
301810	Other	WY	BLUE SHIELD
110055880	Other		MEDICARE RAILROAD RETIREM
102799900	Medicaid	WY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2072A (Wyoming)	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. Dr Donald Albert Gullickson allows following entities to bill medicare on his behalf.

Entity Name	Lander Valley Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215971510 PECOS PAC ID: 5597657080 Enrollment ID: O20040329000810

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 Donald Albert 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
Dr Donald Albert Gullickson, MD 830 Lincoln St, Lander, WY 82520-2736 Ph: (307) 332-4420	Dr Donald Albert Gullickson, MD 745 Buena Vista Dr, Lander, WY 82520-3431 Ph: (307) 332-2941

Reviews and Comments

Internal Medicine Doctors in Lander, WY

Dr. Andrew Malcolm Mcalpin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-1920
Dr. Todd Michael Bainter, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941
Dr. Gentian Ann Scheer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-2068
Dr. Clinton Franklin Merrill Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Shrine Club Rd, Lander, WY 82520 Phone: 307-332-0324 Fax: 307-332-0382

Dr Donald Albert Gullickson, MD - Medicare Internal Medicine in Lander, WY