Gregory Leo Gullickson, PH D - Medicare Psychologist in Iowa City, IA

Gregory Leo Gullickson, PH D is a medicare enrolled "Psychologist" provider in Iowa City, Iowa. His current practice location is 200 Hawkins Dr, Iowa City, Iowa. You can reach out to his office (for appointments etc.) via phone at (319) 356-4200.

Gregory Leo Gullickson is licensed to practice in Iowa (license number 00314) 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 1023120276.

Contact Information

Gregory Leo Gullickson, PH D
200 Hawkins Dr,
Iowa City, IA 52242-1009
(319) 356-4200
(319) 353-8383



Healthcare Provider's Profile

Full NameGregory Leo Gullickson
GenderMale
SpecialityPsychologist
Location200 Hawkins Dr, Iowa City, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023120276
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 11/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3072706191
  • Enrollment ID: I20101021001011

Medical Identifiers

Medical identifiers for Gregory Leo Gullickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023120276NPI-NPPES
31191OtherIABCBS IA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral 00314 (Iowa)Secondary
103TC1900XPsychologist - Counseling 00772 (Iowa)Secondary
103TP2701XPsychologist - Group Psychotherapy 00314 (Iowa)Secondary
103T00000XPsychologist 00314 (Iowa)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 Leo Gullickson allows following entities to bill medicare on his behalf.
Entity NameState University Of Iowa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477554814
PECOS PAC ID: 7618884230
Enrollment ID: O20031107000060

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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 Leo 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
Gregory Leo Gullickson, PH D
200 Hawkins Dr,
Iowa City, IA 52242-1009

Ph: (319) 356-4200
Gregory Leo Gullickson, PH D
200 Hawkins Dr,
Iowa City, IA 52242-1009

Ph: (319) 356-4200

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Psychologist in Iowa City, IA

Dr. Katherine Hadlandsmyth, PHD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 200 Hawkins Dr, Iowa City, IA 52242
Phone: 319-335-6589    
Dr. Jessica Sarah Armer, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 601 Highway 6 W, Iowa City, IA 52246
Phone: 319-338-0581    
Dr. Virginia Lee Stamler, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 123 N Linn St, Suite 2c, Iowa City, IA 52245
Phone: 319-354-7394    Fax: 319-354-0939
Dr. Rhonda Murray Mobley, PH.D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 601 Highway 6 W, Iowa City, IA 52246
Phone: 319-338-0581    
Wayne Bowers, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 200 Hawkins Dr, Iowa City, IA 52242
Phone: 319-353-6301    Fax: 319-356-2587
Dr. Dawn M Bates, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2675 Heinz Rd Apt 9, Iowa City, IA 52240
Phone: 734-478-3007    

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