Gregory D Prichett, PSY is a
Clinical Neuropsychologist based in La Crosse, Wisconsin. Gregory D Prichett is licensed to practice in Wisconsin (license number 1762) and his current practice location is
1836 South Ave, La Crosse, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 782-7300.
NPI number for Gregory D Prichett is 1588668958 and his current mailing address is 1836 South Ave, La Crosse, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588668958.
Healthcare Provider's Profile
| Full Name | Gregory D Prichett |
|---|
| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1836 South Ave, La Crosse, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588668958
- Provider Enumeration Date: 06/13/2005
- Last Update Date: 11/21/2014
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 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
NOT enrolled with medicare and thus cannot 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 |
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