Nicole M Gullickson, MD - Medicare Family Practice in Fargo, ND

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Nicole M Gullickson, MD is a medicare enrolled "Family Medicine" physician in Fargo, North Dakota. She went to University Of North Dakota School Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice West River Health Services and her current practice location is 2400 32nd Ave S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-8800.

Nicole M Gullickson is licensed to practice in North Dakota (license number 11974) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174783211.

Contact Information

Nicole M Gullickson, MD
2400 32nd Ave S,
Fargo, ND 58103-5800
(701) 234-8800
Not Available

Map and Direction




Physician's Profile

Full NameNicole M Gullickson
GenderFemale
SpecialityFamily Practice
Experience6 Years
Location2400 32nd Ave S, Fargo, North Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole M Gullickson attended and graduated from University Of North Dakota School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1174783211
  • Provider Enumeration Date: 06/12/2008
  • Last Update Date: 01/19/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 9830238245
  • Enrollment ID: I20220825001331

Medical Identifiers

Medical identifiers for Nicole M Gullickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174783211NPI-NPPES
16268MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R-8325 (Iowa)Secondary
207Q00000XFamily Medicine 11974 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West River Regional Medical Center-cahHettinger, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
West River Health Services004212704512

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. Nicole M Gullickson allows following entities to bill medicare on her behalf.
Entity NameWest River Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174606271
PECOS PAC ID: 0042127045
Enrollment ID: O20040128001023
Entity NameUniversity Of North Dakota
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619905528
PECOS PAC ID: 2961395934
Enrollment ID: O20040204000241
Entity NameWest River Health Services
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1588763247
PECOS PAC ID: 0042127045
Enrollment ID: O20100909000218

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. Nicole M 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
Nicole M Gullickson, MD
2400 32nd Ave S,
Fargo, ND 58103-5800

Ph: () -		Nicole M Gullickson, MD
2400 32nd Ave S,
Fargo, ND 58103-5800

Ph: (701) 234-8800

Reviews and Comments


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Naomi Schuldt, DNP, APRN, FNP-C
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Megan Harrington, FNP-C
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Andrea Leigh Nellermoe Kaster, MD
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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.