Chajli Chen Thao, PA-C - Medicare Physician Assistant in Fridley, MN

  1. Home
  2. Physician Assistant
  3. MN
  4. Fridley
Chajli Chen Thao, PA-C is a medicare enrolled "Physician Assistant" in Fridley, Minnesota. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Healtheast Medical Research Institute, Fairview Express Care, Fairview Specialty Services and his current practice location is 6401 University Ave Ne, Fridley, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 586-5844.

Chajli Chen Thao is licensed to practice in NU (license number ) 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 1396530119.

Contact Information

Chajli Chen Thao, PA-C
6401 University Ave Ne,
Fridley, MN 55432-4341
(763) 586-5844
Not Available

Map and Direction




Provider's Profile

Full NameChajli Chen Thao
GenderMale
SpecialityPhysician Assistant
Experience1 Years
Location6401 University Ave Ne, Fridley, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Chajli Chen Thao graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1396530119
  • Provider Enumeration Date: 04/11/2025
  • Last Update Date: 08/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9234646837
  • Enrollment ID: I20250729001686

Medical Identifiers

Medical identifiers for Chajli Chen Thao such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396530119NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (NU)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
M Health Fairview Lakes Medical CenterWyoming, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healtheast Medical Research Institute3971407636665
Fairview Express Care33756451791946
Fairview Specialty Services3072083286303

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. Chajli Chen Thao allows following entities to bill medicare on his behalf.
Entity NameUniversity of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity of Minnesota Health Clinics and Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524
Entity NameFairview Specialty Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588543862
PECOS PAC ID: 3072083286
Enrollment ID: O20260529000323

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. Chajli Chen Thao 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
Chajli Chen Thao, PA-C
6401 University Ave Ne,
Fridley, MN 55432-4341

Ph: Not Available		Chajli Chen Thao, PA-C
6401 University Ave Ne,
Fridley, MN 55432-4341

Ph: (763) 586-5844

Reviews and Comments


Physician Assistant Nurses in Fridley, MN

Mary Kathleen Anderson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 480 Osborne Rd Ne, Fridley, MN 55432
Phone: 763-785-4500    Fax: 763-785-3329
James Piper, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 480 Osborne Rd Ne Ste 100, Fridley, MN 55432
Phone: 763-785-4500    Fax: 763-785-3329
Janet Gay Flanagan, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 755 53rd Ave Ne, Fridley, MN 55421
Phone: 763-571-9361    
Brooke Schroepfer,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 755 53rd Ave Ne, Fridley, MN 55421
Phone: 866-389-2727    
Madison Nicole Bestler, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 480 Osborne Rd Ne, Fridley, MN 55432
Phone: 763-581-0600    
Leslie Anne Betterman, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 550 Osborne Rd Ne, Fridley, MN 55432
Phone: 763-236-3518    
Ms. Millicent Wanjohi, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 755 53rd Ave Ne, Fridley, MN 55421
Phone: 763-862-9656    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.