| Dr Heather N Gullickson-cowden, OD | |
|
2409 Stout Rd, Menomonie, WI 54751-2757 | |
| (715) 231-3937 | |
| Not Available |
| Full Name | Dr Heather N Gullickson-cowden |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 2409 Stout Rd, Menomonie, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619944543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 545 (North Dakota) | Secondary |
| 152W00000X | Optometrist | 2581 (Minnesota) | Secondary |
| 152W00000X | Optometrist | 3015-035 (Wisconsin) | Primary |
| Provider Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
| Provider Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1154372944 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000001 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Heather N Gullickson-cowden, OD Po Box 1510, Eau Claire, WI 54702-1510 Ph: (715) 838-5222 | Dr Heather N Gullickson-cowden, OD 2409 Stout Rd, Menomonie, WI 54751-2757 Ph: (715) 231-3937 |
Dr. Kelsie Sommerfeld, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-9671 | |
Kivlin Eye Clinic Sc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2303 Schneider Ave Se, Menomonie, WI 54751 Phone: 715-235-3838 Fax: 715-235-3846 | |
Dr. Tori J. Flood, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2303 Schneider Ave Se, Menomonie, WI 54751 Phone: 715-235-3838 Fax: 715-235-3846 | |
Dr. Douglas Michael Monette, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2303 Schneider Ave Se Ste 100, Menomonie, WI 54751 Phone: 715-235-3838 | |
Dr. Nicholas Joel Komro, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 520 Wilson Ave, Menomonie, WI 54751 Phone: 715-235-2855 Fax: 715-235-9436 | |
Dr. James B Kivlin, OD, TPA Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2303 Schneider Ave Se, Suite#100, Menomonie, WI 54751 Phone: 715-235-3838 Fax: 715-235-3846 |