Holley Gullickson, in Robbinsdale, MN - Medicare Nurse Practitioner

Holley Gullickson, is a medicare enrolled "Nurse Practitioner" in Robbinsdale, Minnesota. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lifespark Medical Group Pa and her current practice location is 3366 Oakdale Ave N, Suite 605, Robbinsdale, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 520-2940.

Holley Gullickson is licensed to practice in Minnesota (license number R1551082) 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 1023025517.

Contact Information

	Holley Gullickson,
	3366 Oakdale Ave N, Suite 605, Robbinsdale, MN 55422-2948
	(763) 520-2940
	Not Available

Map and Direction

Provider's Profile

Full Name	Holley Gullickson
Gender	Female
Speciality	Nurse Practitioner
Experience	19 Years
Location	3366 Oakdale Ave N, Robbinsdale, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Holley Gullickson graduated from nursing school in 2005

NPI Data:

NPI Number: 1023025517
Provider Enumeration Date: 08/01/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0345255535
Enrollment ID: I20060208000845

Medical Identifiers

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

Identifier	Type	State	Issuer
1023025517	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R1551082 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Minnesota Medical Center, Fairview	Minneapolis, MN	Hospital
Abbott Northwestern Hospital	Minneapolis, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifespark Medical Group Pa	4385908201	26

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. Holley Gullickson allows following entities to bill medicare on her behalf.

Entity Name	Respiratory Consultants Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356439277 PECOS PAC ID: 6204736853 Enrollment ID: O20040112000044

Entity Name	Lifespark Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427551746 PECOS PAC ID: 4385908201 Enrollment ID: O20180501001022

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. Holley 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
Holley Gullickson, 3366 Oakdale Ave N, Suite 605, Robbinsdale, MN 55422-2948 Ph: () -	Holley Gullickson, 3366 Oakdale Ave N, Suite 605, Robbinsdale, MN 55422-2948 Ph: (763) 520-2940

Reviews and Comments

Nurse Practitioner Nurses in Robbinsdale, MN

Michaela Anne Mclain, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5110
Kate Chies, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-9392
Evan Sieve Johnson, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200
Renee K Doering, G.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3366 Oakdale Ave N, Suite 315, Robbinsdale, MN 55422 Phone: 763-587-7900 Fax: 763-587-7989
Mary Shields, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3366 Oakdale Ave N, Suite 551, Robbinsdale, MN 55422 Phone: 763-587-7737 Fax: 763-587-7069
Allysa Jacobson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3366 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-5372

Holley Gullickson, - Medicare Nurse Practitioner in Robbinsdale, MN