Gregory D Prichett, PSY is a medicare enrolled "Clinical Neuropsychologist" provider in La Crosse, Wisconsin. His current practice location is
1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 782-7300.
Gregory D Prichett is licensed to practice in Wisconsin (license number 1762) 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 1588668958.
Healthcare Provider's Profile
| Full Name | Gregory D Prichett |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 1836 South Ave, La Crosse, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1588668958
- Provider Enumeration Date: 06/13/2005
- Last Update Date: 11/21/2014
Medicare PECOS Information:
- PECOS PAC ID: 4183804313
- Enrollment ID: I20110204000920
Medical Identifiers
Medical identifiers for Gregory D Prichett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588668958 | NPI | - | NPPES |
| 39103500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 1762 (Wisconsin) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 1762 (Wisconsin) | 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. Gregory D Prichett allows following entities to bill medicare on his behalf.
| Entity Name | Gundersen Clinic Ltd |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139 |
|---|
| Entity Name | Gundersen Lutheran Medical Center Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1225873458
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254 |
|---|
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. Gregory D Prichett 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 |
|---|
Gregory D Prichett, PSY
1836 South Ave,
La Crosse, WI 54601-5429
Ph: (608) 782-7300 | Gregory D Prichett, PSY
1836 South Ave,
La Crosse, WI 54601-5429
Ph: (608) 782-7300 |
Reviews and Comments