Mr Cody Daniel Tucholke, PA-C in Minneapolis, MN

Mr Cody Daniel Tucholke, PA-C is a medicare enrolled "Physician Assistant" in Minneapolis, Minnesota. He graduated from nursing school in 2022 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Twin Cities Physicians Professional Corporation and his current practice location is 1415 Lilac Dr N Ste 190, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 267-8701.

Mr Cody Daniel Tucholke is licensed to practice in * (Not Available) (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 1407502024.

Contact Information

	Mr Cody Daniel Tucholke, PA-C
	1415 Lilac Dr N Ste 190, Minneapolis, MN 55422-4544
	(763) 267-8701
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Cody Daniel Tucholke
Gender	Male
Speciality	Physician Assistant
Experience	2 Years
Location	1415 Lilac Dr N Ste 190, Minneapolis, 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:

Mr Cody Daniel Tucholke graduated from nursing school in 2022

NPI Data:

NPI Number: 1407502024
Provider Enumeration Date: 02/22/2022
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 5496140949
Enrollment ID: I20220318001284

Medical Identifiers

Medical identifiers for Mr Cody Daniel Tucholke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407502024	NPI	-	NPPES
14001	Other	MN	PA LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Brookdale Hospice Minnesota	Edina, MN	Hospice
Brighton Hospice	Saint louis park, MN	Hospice

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Twin Cities Physicians Professional Corporation	9830499763	42

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. Mr Cody Daniel Tucholke 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
Mr Cody Daniel Tucholke, PA-C 1856 Yorkshire Ave, Saint Paul, MN 55116-2404 Ph: (612) 269-6187	Mr Cody Daniel Tucholke, PA-C 1415 Lilac Dr N Ste 190, Minneapolis, MN 55422-4544 Ph: (763) 267-8701

Reviews and Comments

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Mr Cody Daniel Tucholke, PA-C - Medicare Physician Assistant in Minneapolis, MN