Mark K Thalacker is a Woodbury, Minnesota based nurse practitioner with 30 years of experience in . He completed his graduation in 1994. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mark K Thalacker is R096321-5 in Minnesota. His current practice location is 1875 Woodwinds Dr, Suite 130, Woodbury. Patients can reach him at 651-232-0500. Mark K Thalacker is CNP and his NPI number (Unique professional ID assigned by NPPES) is 1063483493. Mark K Thalacker has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mark K Thalacker speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mark K Thalacker
Specialization:
Nurse Practitioner (NP)
Gender:
Male
Credentials:
CNP
Experience:
30+ years
Medical School Attended:
Other
Graduation Year:
1994
Accepts Medicare Assignment:
Yes
Practice Address:
1875 Woodwinds Dr, Suite 130, Woodbury, Minnesota, 55125-2298
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3678660776
Enrollment ID:
I20071107000061
NPI Number:
1063483493
NPI Enumeration Date:
01 Feb, 2006
NPI Last Update On:
26 Feb, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark K Thalacker are as mentioned below.
License Number
Specialization
State
Status
R096321-5
Minnesota
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(240213)
Woodbury, MN
Acute Care Hospital
(240210)
Maplewood, MN
Acute Care Hospital
(240080)
Minneapolis, MN
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mark K Thalacker is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Healtheast Medical Research Institute (3971407636)
458
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark K Thalacker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
815725100
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mark K Thalacker 1875 Woodwinds Dr, Suite 130 Woodbury, Minnesota
Zip:
55125-2298
Phone Number:
651-232-0500
Patients can reach Mark K Thalacker at 1875 Woodwinds Dr, Suite 130, Woodbury, Minnesota or can call to book an appointment on 651-232-0500.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.