Donald A Gullickson
LANDER VALLEY PHYSICIAN PRACTICES LLC


Address: 830 Lincoln St, Lander, WY 82520-2736
Phone: 3073329577

Donald A Gullickson (NPI# 1497840110, PAC ID# 6204804529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1497840110
PAC ID by PECOS 6204804529
Professional Enrollment ID I20040923000529
Full Name Donald A Gullickson
Organization Legal Name LANDER VALLEY PHYSICIAN PRACTICES LLC
Address 830 Lincoln St
Lander
WY 82520-2736
Phone Number 3073329577
Gender M
Credential MD
Medical School NORTHWESTERN UNIVERSITY MEDICAL SCHOOL
Graduation Year 1966
Primary Specialty INTERNAL MEDICINE
Secondary Specialties FAMILY MEDICINE
Group Practice PAC ID 5597657080
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
530008 SAGEWEST HEALTH CARE

Other Locations

Address Phone Organization
830 Lincoln St, Lander, WY 82520-2736 3073329577 LANDER VALLEY PHYSICIAN PRACTICES LLC

Organization Information

Organization Legal Name LANDER VALLEY PHYSICIAN PRACTICES LLC
Physicians 7

Physicians with the same organization

Name Specialty Organization Address
Todd M Bainter Internal Medicine Lander Valley Physician Practices LLC 1320 Bishop Randall Dr, Lander, WY 82520-3939
Gentian A Scheer Internal Medicine Lander Valley Physician Practices LLC 830 Lincoln St, Lander, WY 82520-2736
Kimberly D Kearney Nurse Practitioner Lander Valley Physician Practices LLC 1320 Bishop Randall Dr, Lander, WY 82520-3939
William Clark Clinical Social Worker Lander Valley Physician Practices LLC 830 Lincoln St, Lander, WY 82520-2736
Holly Dee Crosby Nurse Practitioner Lander Valley Physician Practices LLC 830 Lincoln St, Lander, WY 82520-2736
Sheila B Brown Pediatric Medicine Lander Valley Physician Practices LLC 830 Lincoln St, Lander, WY 82520-2736

Office Location

Street Address 830 LINCOLN ST
City LANDER
State WY
Zip 82520-2736

Physicians in the same location

Name Specialty Organization Address
Gentian A Scheer Internal Medicine Lander Valley Physician Practices LLC 830 Lincoln St, Lander, WY 82520-2736
William Clark Clinical Social Worker Lander Valley Physician Practices LLC 830 Lincoln St, Lander, WY 82520-2736
Holly Dee Crosby Nurse Practitioner Lander Valley Physician Practices LLC 830 Lincoln St, Lander, WY 82520-2736
Sheila B Brown Pediatric Medicine Lander Valley Physician Practices LLC 830 Lincoln St, Lander, WY 82520-2736

Physicians in the same zip code

Name Specialty Organization Address
Stephanie Kay Brewer Chiropractic 431 Main St, Lander, WY 82520-1569
Ryan M Flatt Physical Therapy Teton Therapy PC 425 Lincoln St Cty Cntr Plz, Suite 2, Lander, WY 82520-2831
Ty N Francis Physical Therapy Wind River Physical Therapy LLC 150 Lincoln St, Lander, WY 82520-2846
Jessica J Kotnour Physical Therapy Wind River Physical Therapy LLC 150 Lincoln St, Lander, WY 82520-2846
Heather L Bregar Physical Therapy Wind River Physical Therapy LLC 150 Lincoln St, Lander, WY 82520-2846
Amy L Hitshew Physician Assistant Orthopaedics of Steamboat Springs PC 8185 Hwy 789, Lander, WY 82520-2942
Susan M Pearson Family Medicine Lander Family Medicine PC 8195 Hwy 789, Lander, WY 82520-2942
Steven J Platz Physician Assistant Lander Family Medicine PC 8195 Hwy 789, Lander, WY 82520-2942
Tabitha M Shaw Family Practice Lander Family Medicine, P.C. 8195 Hwy 789, Lander, WY 82520-2942
Kim K Asbell Physical Therapy Fremont Therapy Group LLC 8168 Hwy 789, Lander, WY 82520-2953
Find all physicians in zip 82520

Competitor

Search similar physicians

City LANDER
Zip Code 82520
Specialty INTERNAL MEDICINE
City + Specialty LANDER + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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