Twin Cities Physicians Professional Corporation - Medicare Primary Care in Golden Valley, MN

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Twin Cities Physicians Professional Corporation is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Golden Valley, Minnesota. The current practice location for Twin Cities Physicians Professional Corporation is 1415 Lilac Dr N Ste 190, Golden Valley, Minnesota. For appointments, you can reach them via phone at (763) 267-8701. The mailing address for Twin Cities Physicians Professional Corporation is 1415 Lilac Dr N Ste 190, Golden Valley, Minnesota and phone number is (763) 267-8701.

Twin Cities Physicians Professional Corporation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1992176499. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (763) 267-8701.

Contact Information

Twin Cities Physicians Professional Corporation
1415 Lilac Dr N Ste 190
Golden Valley
MN 55422
(763) 267-8701
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameTwin Cities Physicians Professional Corporation
SpecialityClinic/Center
Location1415 Lilac Dr N Ste 190, Golden Valley, Minnesota
Authorized Official Name and PositionClemencia Rasquinha (OWNER)
Authorized Official Contact7202333580
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Twin Cities Physicians Professional Corporation
1415 Lilac Dr N Ste 190
Golden Valley
MN 55422-4544

Ph: (763) 267-8701		Twin Cities Physicians Professional Corporation
1415 Lilac Dr N Ste 190
Golden Valley
MN 55422

Ph: (763) 267-8701

NPI Details:

NPI Number1992176499
Provider Enumeration Date10/10/2015
Last Update Date03/01/2023

Medicare PECOS Information:

Medicare PECOS PAC ID9830499763
Medicare Enrollment IDO20151130000202

Medical Identifiers

Medical identifiers for Twin Cities Physicians Professional Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992176499NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary
363AM0700XPhysician Assistant - Medical 2360 (Minnesota)Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Twin Cities Physicians Professional Corporation acts as a billing entity for following providers:
Provider NameSanjay K Mishra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194821504
PECOS PAC ID: 5395732986
Enrollment ID: I20040427000433
Provider NameWilliam B Ogden
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336109974
PECOS PAC ID: 2365485190
Enrollment ID: I20050602001044
Provider NamePaul E Mittelstadt
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1295725513
PECOS PAC ID: 2264422831
Enrollment ID: I20050715000212
Provider NameLuis Arturo Martinez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487634226
PECOS PAC ID: 8022047638
Enrollment ID: I20050804000311
Provider NameMohammad T Fareed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598839250
PECOS PAC ID: 5698700144
Enrollment ID: I20051004000088
Provider NameKaikhushroo B Radmanesh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871526665
PECOS PAC ID: 4880602218
Enrollment ID: I20060328000055
Provider NameStephen M Bockhold
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1174732952
PECOS PAC ID: 8628162963
Enrollment ID: I20070918000500
Provider NameJoey D Vork
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235319427
PECOS PAC ID: 9739269929
Enrollment ID: I20071228000468
Provider NameErin P Emerson Egginton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609040054
PECOS PAC ID: 6305909938
Enrollment ID: I20090108000334
Provider NameVidu Bala Mokkala
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396918207
PECOS PAC ID: 0547457566
Enrollment ID: I20101202001249
Provider NameSubhadra Chereddy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255591103
PECOS PAC ID: 8527257336
Enrollment ID: I20110110000806
Provider NameThanh Tam N Nguyen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477793263
PECOS PAC ID: 7719165273
Enrollment ID: I20110705000067
Provider NameParvathi Theerthakarai
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922273978
PECOS PAC ID: 1456522036
Enrollment ID: I20110913000363
Provider NameRebecca A Schaefer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700218211
PECOS PAC ID: 4385887132
Enrollment ID: I20130827000749
Provider NameKaren M Popp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821423476
PECOS PAC ID: 8022244433
Enrollment ID: I20131113000891
Provider NameJessica K Gerard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700261427
PECOS PAC ID: 7618282591
Enrollment ID: I20150821012823
Provider NameClemencia Rasquinha
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1023021409
PECOS PAC ID: 3476517988
Enrollment ID: I20151223000777
Provider NameMaureen L Randall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447609425
PECOS PAC ID: 2062704216
Enrollment ID: I20160707001923
Provider NameIsaac A Adediran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063826998
PECOS PAC ID: 3971880071
Enrollment ID: I20171120001770
Provider NameGayle Bauer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407363583
PECOS PAC ID: 8527329465
Enrollment ID: I20180309001451
Provider NameNimo O Ahmed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295235521
PECOS PAC ID: 9537219084
Enrollment ID: I20180709002164
Provider NameJohn O Nyaenya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710470075
PECOS PAC ID: 6800144924
Enrollment ID: I20180807001501
Provider NameHannah Reimen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851704829
PECOS PAC ID: 7719279348
Enrollment ID: I20181015002483
Provider NameHaley Allison Luckew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376018655
PECOS PAC ID: 0941544167
Enrollment ID: I20181129000316
Provider NameElizabeth Jean Krebsbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194387902
PECOS PAC ID: 5991030843
Enrollment ID: I20190715001344
Provider NameEllie Huynh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861750572
PECOS PAC ID: 4385945047
Enrollment ID: I20190828000130
Provider NameAngela Nicole Score
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063067981
PECOS PAC ID: 2769711852
Enrollment ID: I20190916001971
Provider NameMalinda Lynch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871141143
PECOS PAC ID: 9537498639
Enrollment ID: I20190916002588
Provider NameJessicah Gabrielson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083247654
PECOS PAC ID: 2860820610
Enrollment ID: I20200310001826
Provider NameAndrea Dickinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508482654
PECOS PAC ID: 3971927203
Enrollment ID: I20200721000476
Provider NameAlicia Joy Minnis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972121952
PECOS PAC ID: 8123443561
Enrollment ID: I20200803001414
Provider NameAmber Marie Keyes-benner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699393652
PECOS PAC ID: 6204252703
Enrollment ID: I20200814000284
Provider NameNitasha Kaur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972136869
PECOS PAC ID: 9032522107
Enrollment ID: I20210108002445
Provider NameMary Irene Wangechi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295323277
PECOS PAC ID: 2567876006
Enrollment ID: I20210125002621
Provider NameEseoghene Bosede Abokede
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780027938
PECOS PAC ID: 6901105840
Enrollment ID: I20210127002851
Provider NameHeather Arechigo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316475312
PECOS PAC ID: 9234400227
Enrollment ID: I20210319001941
Provider NameAngela Bradford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669054888
PECOS PAC ID: 2062821069
Enrollment ID: I20210504000470
Provider NameAlexandra R Czarnetzki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982375457
PECOS PAC ID: 0648678300
Enrollment ID: I20211011000420
Provider NameCory A Muonio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578146221
PECOS PAC ID: 2860882370
Enrollment ID: I20211123002930
Provider NameVeronicah Chweya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740941772
PECOS PAC ID: 5698168722
Enrollment ID: I20220211001733
Provider NameJessica Galbrecht
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609461292
PECOS PAC ID: 9638562739
Enrollment ID: I20220214002020
Provider NameDenijal Gluhic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477283216
PECOS PAC ID: 3577949247
Enrollment ID: I20221004000493
Provider NameRebecca Joy Gibson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346863354
PECOS PAC ID: 6002282423
Enrollment ID: I20221026000406
Provider NameMarjay G Kelley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811663479
PECOS PAC ID: 6507233046
Enrollment ID: I20221114000222
Provider NameFrancesca Sere
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114663135
PECOS PAC ID: 9436527736
Enrollment ID: I20221117000931
Provider NameMara Trudgeon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427753730
PECOS PAC ID: 3476918723
Enrollment ID: I20230420002194
Provider NameXong Yalo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699450486
PECOS PAC ID: 9032578331
Enrollment ID: I20230705001731
Provider NameNicholas Moore Southerton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013691153
PECOS PAC ID: 3678934783
Enrollment ID: I20230804000766
Provider NameAshley Lynn Weis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447936794
PECOS PAC ID: 3072976281
Enrollment ID: I20230905002866
Provider NameKatelyn R Forsell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790560050
PECOS PAC ID: 5395190763
Enrollment ID: I20231005001222
Provider NameHelle Lukk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942388467
PECOS PAC ID: 7113829284
Enrollment ID: I20231016003182
Provider NameEmily Kilen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982281184
PECOS PAC ID: 0941672547
Enrollment ID: I20231025003004
Provider NameThomas Mwambi Ondara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891567780
PECOS PAC ID: 7214387737
Enrollment ID: I20231226001397
Provider NameEftu Boru
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174055131
PECOS PAC ID: 2264762178
Enrollment ID: I20231227000638
Provider NameJessica Lynn Spurrier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609643352
PECOS PAC ID: 6204286685
Enrollment ID: I20231227002024
Provider NameCasey Dunn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790559375
PECOS PAC ID: 3274984679
Enrollment ID: I20240110002813

Reviews and Comments


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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.