Individual ProviderJody LuckNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address700 5th St S, Hopkins, MN 55343-7764(952) 993-0799(612) 578-5700PECOS EnrollmentBased on the most recent information from CMS, provider Jody Luck is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1023762721Provider TypeIndividualFull NameLuck, JodyCredentialCNPGenderFemaleSole ProprietorNoEnumeration Date2/10/2022Last Updated2/10/2022Contact InformationPractice LocationPractice Address700 5th St S, Hopkins, MN 55343-7764Phone(952) 993-0799FaxUnlisted FaxMailing LocationMailing Address698 Newberry Ln, Chaska, MN 55318-3205Phone(612) 578-5700FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense8997Minnesota