Mark K Thalacker, CNP in Woodbury, MN - Medicare Nurse Practitioner

Mark K Thalacker, CNP is a medicare enrolled "Nurse Practitioner" in Woodbury, Minnesota. He graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Healtheast Medical Research Institute and his current practice location is 1875 Woodwinds Dr, Suite 130, Woodbury, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 232-0500.

Mark K Thalacker is licensed to practice in Minnesota (license number R096321-5) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063483493.

Contact Information

	Mark K Thalacker, CNP
	1875 Woodwinds Dr, Suite 130, Woodbury, MN 55125-2298
	(651) 232-0500
	Not Available

Map and Direction

Provider's Profile

Full Name	Mark K Thalacker
Gender	Male
Speciality	Nurse Practitioner
Experience	30 Years
Location	1875 Woodwinds Dr, Woodbury, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark K Thalacker graduated from nursing school in 1994

NPI Data:

NPI Number: 1063483493
Provider Enumeration Date: 02/01/2006
Last Update Date: 02/26/2024

Medicare PECOS Information:

PECOS PAC ID: 3678660776
Enrollment ID: I20071107000061

Medical Identifiers

Medical identifiers for Mark K Thalacker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063483493	NPI	-	NPPES
815725100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R096321-5 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Healtheast St John's Hospital	Maplewood, MN	Hospital
Healtheast Woodwinds Hospital	Woodbury, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healtheast Medical Research Institute	3971407636	500

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. Mark K Thalacker allows following entities to bill medicare on his behalf.

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

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. Mark K Thalacker 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
Mark K Thalacker, CNP 1875 Woodwinds Dr, Suite 130, Woodbury, MN 55125-2298 Ph: (651) 232-0500	Mark K Thalacker, CNP 1875 Woodwinds Dr, Suite 130, Woodbury, MN 55125-2298 Ph: (651) 232-0500

Reviews and Comments

Nurse Practitioner Nurses in Woodbury, MN

Heidi Lee Brown, FNP-BC, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7650 Currell Blvd Ste 330, Woodbury, MN 55125 Phone: 651-738-7800 Fax: 651-738-9501
Michelle Garay, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 659 Bielenberg Dr Ste 100, Woodbury, MN 55125 Phone: 952-903-1329 Fax: 651-259-9780
Laurie Geddes, MS, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2040 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-259-9750
Tamara Tew, APRN, CNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2040 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-259-9750
Morgan Borine, MA, MS, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 Bielenberg Dr Ste 180, Woodbury, MN 55125 Phone: 612-225-4141
Marcy J Bents, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1925 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-0100

Mark K Thalacker, CNP - Medicare Nurse Practitioner in Woodbury, MN