Individual ProviderThomas D. VasovskiNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(928) 202-0159PECOS EnrollmentBased on the most recent information from CMS, provider Thomas D. Vasovski does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1154384592Provider TypeIndividualFull NameVasovski, Thomas D.CredentialFNPGenderMaleSole ProprietorNoEnumeration Date4/7/2006Last Updated7/9/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(928) 202-0159FaxUnlisted FaxMailing LocationMailing Address953 N Soliz St, Dewey, AZ 86327-8221Phone(928) 202-0159FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense590141TexasProvider IdentifiersIDDescriptionIssuerIDP00269380DescriptionOtherIssuerRR/MEDICARETexasID1485989-03DescriptionMedicaidIssuerUnlistedTexasID8N9143DescriptionOtherIssuerBLUE SHIELDTexas