Ltc Professionals, Pllc - Medicare in Bloomington, MN

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Ltc Professionals, Pllc is a medicare enrolled "Internal Medicine" provider in Bloomington, Minnesota. Their current practice location is 7801 East Bush Lake Rd, Suite 400, Bloomington, Minnesota. You can reach out to their office (for appointments etc.) via phone at (952) 479-4261.

Ltc Professionals, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ltc Professionals, Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1417251935.

Contact Information

Ltc Professionals, Pllc
7801 East Bush Lake Rd, Suite 400,
Bloomington, MN 55439
(952) 479-4261
(866) 991-7241

Map and Direction




Healthcare Provider's Profile

Full NameLtc Professionals, Pllc
TypeFacility
SpecialityInternal Medicine
Location7801 East Bush Lake Rd, Bloomington, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417251935
  • Provider Enumeration Date: 12/23/2010
  • Last Update Date: 07/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7911181029
  • Enrollment ID: O20110414000668

Medical Identifiers

Medical identifiers for Ltc Professionals, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417251935NPI-NPPES
535OtherTNTONIC BIOREGULATORY MEDICINE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist (* (Not Available))Secondary
207P00000XEmergency Medicine (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
261QH0100XClinic/center - Health Service (* (Not Available))Secondary
261QP3300XClinic/center - Pain (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ltc Professionals, Pllc acts as a billing entity for following providers:
Provider NameMichael Robert Wilcox
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801814504
PECOS PAC ID: 2961301288
Enrollment ID: I20040106000571
Provider NameJoyce A Kliber
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598812638
PECOS PAC ID: 5193764652
Enrollment ID: I20050426000200
Provider NameDirk S Halverson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1518958925
PECOS PAC ID: 2567488950
Enrollment ID: I20051102000652
Provider NameVikas Simon Mittal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629038377
PECOS PAC ID: 2961425079
Enrollment ID: I20060104000359
Provider NameM Elizabeth Mcnutt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306032065
PECOS PAC ID: 9537247549
Enrollment ID: I20080416000277
Provider NameJennifer Flo
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1689695306
PECOS PAC ID: 6103823299
Enrollment ID: I20080602000773
Provider NameJason A Weiland
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1942207253
PECOS PAC ID: 0143271684
Enrollment ID: I20090428000358
Provider NameKenneth P Olson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336126275
PECOS PAC ID: 4486780806
Enrollment ID: I20100324001127
Provider NameAlanna M Valadez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114215076
PECOS PAC ID: 2567633548
Enrollment ID: I20110923000020
Provider NameDeanna Marie Heine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831677780
PECOS PAC ID: 2264781038
Enrollment ID: I20180828001920
Provider NameHudson M Omweri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285190132
PECOS PAC ID: 5395088702
Enrollment ID: I20190528000324
Provider NameMaggie Marie Prunty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568925634
PECOS PAC ID: 1355671512
Enrollment ID: I20191001002626
Provider NameBrenna Erickson
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1437654423
PECOS PAC ID: 8325303340
Enrollment ID: I20201007003327
Provider NameAllison Gilles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235745126
PECOS PAC ID: 4981014800
Enrollment ID: I20201104002821
Provider NameBreanne Nicole Stenseth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508462813
PECOS PAC ID: 1951715879
Enrollment ID: I20210203002725
Provider NameMaggie Marie Lage
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093398133
PECOS PAC ID: 0648672840
Enrollment ID: I20210712000022
Provider NameSheng Person
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972132306
PECOS PAC ID: 0446657373
Enrollment ID: I20210921000081
Provider NameKasey Marie Meyer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1649806688
PECOS PAC ID: 7012369929
Enrollment ID: I20240116003928
Provider NameArron Reuvers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689417529
PECOS PAC ID: 4688108533
Enrollment ID: I20241114001792
Provider NameMicayla Danielle Steflor
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1194537662
PECOS PAC ID: 2264903905
Enrollment ID: I20260603004562

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. Ltc Professionals, Pllc 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
Ltc Professionals, Pllc
7801 East Bush Lake Rd, Suite 400,
Bloomington, MN 55439

Ph: (952) 479-4261		Ltc Professionals, Pllc
7801 East Bush Lake Rd, Suite 400,
Bloomington, MN 55439

Ph: (952) 479-4261

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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