Ms Tammy Lynn Prohofsky, APRN, CNP in Eden Prairie, MN

Ms Tammy Lynn Prohofsky, APRN, CNP is a medicare enrolled "Nurse Practitioner" in Eden Prairie, Minnesota. Her current practice location is 11000 Optum Cir, Eden Prairie, Minnesota. You can reach out to her office (for appointments etc.) via phone at (866) 686-2504.

Ms Tammy Lynn Prohofsky is licensed to practice in Minnesota (license number 7897) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720689920.

Contact Information

	Ms Tammy Lynn Prohofsky, APRN, CNP
	11000 Optum Cir, Eden Prairie, MN 55344-2503
	(866) 686-2504
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Tammy Lynn Prohofsky
Gender	Female
Speciality	Nurse Practitioner
Location	11000 Optum Cir, Eden Prairie, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720689920
Provider Enumeration Date: 11/04/2020
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 0143634766
Enrollment ID: I20210122000319

Medical Identifiers

Medical identifiers for Ms Tammy Lynn Prohofsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720689920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	7897 (Minnesota)	Primary
363L00000X	Nurse Practitioner	R147035-4 (Minnesota)	Secondary

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. Ms Tammy Lynn Prohofsky allows following entities to bill medicare on her behalf.

Entity Name	Mayo Clinic Health System-lake City
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164463659 PECOS PAC ID: 1951213487 Enrollment ID: O20031104000095

Entity Name	Mayo Clinic Health System-southeast Minnesota Region
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408

Entity Name	Mayo Clinic Health System-lake City
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1538113022 PECOS PAC ID: 1951213487 Enrollment ID: O20070711000490

Entity Name	Mayo Clinic Health System-southeast Minnesota Region
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1063435410 PECOS PAC ID: 4385556703 Enrollment ID: O20171011003946

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. Ms Tammy Lynn Prohofsky 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
Ms Tammy Lynn Prohofsky, APRN, CNP 12490 Fairbanks Ave, Lonsdale, MN 55046-4475 Ph: (763) 257-9280	Ms Tammy Lynn Prohofsky, APRN, CNP 11000 Optum Cir, Eden Prairie, MN 55344-2503 Ph: (866) 686-2504

Reviews and Comments

Nurse Practitioner Nurses in Eden Prairie, MN

Meghan Maureen Davitt, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274
Chad Lee Stencel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 965 Prairie Center Dr Ste 200, Eden Prairie, MN 55344 Phone: 952-995-8780 Fax: 952-679-7430
Rachel Maguy Pierre, ARNP-FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11000 Optum Cir, Eden Prairie, MN 55344 Phone: 888-445-8745
Nimo Saleban Abdi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10067 Gristmill Rdg, Eden Prairie, MN 55347 Phone: 612-226-2747 Fax: 612-465-4884
Jill Marie Scholz, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274
Kristofer Bristol, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6452 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-999-0333
Katie L Seremet, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6452 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-999-0333 Fax: 952-300-2558

Ms Tammy Lynn Prohofsky, APRN, CNP - Medicare Nurse Practitioner in Eden Prairie, MN