Chuci James Thao, PA-C - Medicare Physician Assistant in Plymouth, MN

Chuci James Thao, PA-C is a medicare enrolled "Physician Assistant" in Plymouth, Minnesota. His current practice location is 15700 37th Ave N Ste 150, Plymouth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 968-5201.

Chuci James Thao is licensed to practice in Minnesota (license number 13526) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356805618.

Contact Information

Chuci James Thao, PA-C
15700 37th Ave N Ste 150,
Plymouth, MN 55446-3675
(651) 968-5201
(651) 968-5903



Provider's Profile

Full NameChuci James Thao
GenderMale
SpecialityPhysician Assistant
Location15700 37th Ave N Ste 150, Plymouth, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356805618
  • Provider Enumeration Date: 01/30/2019
  • Last Update Date: 06/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648684977
  • Enrollment ID: I20210128001240

Medical Identifiers

Medical identifiers for Chuci James Thao such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356805618NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 13526 (Minnesota)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. Chuci James Thao 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 AddressPractice Location Address
Chuci James Thao, PA-C
710 Commerce Dr Ste 200,
Woodbury, MN 55125-4925

Ph: () -
Chuci James Thao, PA-C
15700 37th Ave N Ste 150,
Plymouth, MN 55446-3675

Ph: (651) 968-5201

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Physician Assistant Nurses in Plymouth, MN

Grayson W Blomberg, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446
Phone: 651-968-5201    
Lindsay A Haugen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446
Phone: 651-968-5201    Fax: 651-968-5903
Alaina Marie Sylvester, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446
Phone: 651-968-5201    Fax: 651-968-5903
Mrs. Kaitlyn M Roseman, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3033 Campus Dr Ste W225, Plymouth, MN 55441
Phone: 415-504-3838    Fax: 415-504-1367
Andrea Bryan, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1495 County Road 101 N, Plymouth, MN 55447
Phone: 637-504-6500    
Mrs. Lauren Lynn Ducklow, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4155 County Road 101 N, Plymouth, MN 55446
Phone: 952-993-8900    Fax: 952-993-8955
Jodi N Ositu, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 15700 37th Ave N, Plymouth, MN 55446
Phone: 651-968-5200    

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