Look up the most recent NPI and PECOS records

Thomas D. Vasovski

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9900 Bren Rd E, Minnetonka, MN 55343-9664

PECOS Enrollment

This provider is enrolled in PECOS as THOMAS VASOVSKI.

Based on the most recent information from CMS, provider Thomas D. Vasovski is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1154384592
Provider Type
Individual
Full Name
Vasovski, Thomas D.
Credential
FNP

Gender
Male
Sole Proprietor
No
Enumeration Date
4/7/2006
Last Updated
7/9/2020

Contact Information

Practice Location

9900 Bren Rd E, Minnetonka, MN 55343-9664

(928) 202-0159

Unlisted Fax

Mailing Location

953 N Soliz St, Dewey, AZ 86327-8221

(928) 202-0159

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 590141 Texas

Provider Identifiers

ID	Description	Issuer
ID P00269380	Description Other	Issuer RR/MEDICARE Texas
ID 1485989-03	Description Medicaid	Issuer Unlisted Texas
ID 8N9143	Description Other	Issuer BLUE SHIELD Texas

Thomas D. Vasovski

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Ragsdale, Maria Cecilia

Barker, Kathryn

Scalone, Ginger D.

Boulet, Jimi Leah

Malesev, Tamara

Rucker, Sylvia Tawanda

Hayes, Jesse

Hocking, Tracey L

O'Leary, Kerry

Malark, Claire