Madison Thalacker, PA-S is a
Student In An Organized Health Care Education/training Program based in Minneapolis, Minnesota. Madison Thalacker is licensed to practice in * (Not Available) (license number ) and her current practice location is
2211 Riverside Ave, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 330-1399.
NPI number for Madison Thalacker is 1639928013 and her current mailing address is 1010 Sussex Dr, Eau Claire, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639928013.
Provider's Profile
| Full Name | Madison Thalacker |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2211 Riverside Ave, Minneapolis, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639928013
- Provider Enumeration Date: 05/16/2024
- Last Update Date: 05/16/2024
Medical Identifiers
Medical identifiers for Madison Thalacker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639928013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Madison Thalacker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Madison Thalacker, PA-S
1010 Sussex Dr,
Eau Claire, WI 54703-2096
Ph: (715) 563-7852 | Madison Thalacker, PA-S
2211 Riverside Ave,
Minneapolis, MN 55454-1350
Ph: (612) 330-1399 |
Reviews and Comments