Tucker John Carlson, DO
Individual provider Active NPI Emergency Medicine Physician · Mankato, MN
NPI 1083110738 · NPPES record last updated Aug 9, 2023
Key facts
- NPI
- 1083110738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 69619 (MN)
- Practice address
- 1025 Marsh St
Mankato, MN 56001-4752 - Phone
- (507) 625-4031
- NPI assigned
- Apr 2, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Southwest Minnesota Region
Mayo Clinic Health System-Fairmont
Practice addresses (Care Compare)
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
800 Medical Ctr Dr
Fairmont, MN 56031-4575
Phone (507) 238-8555
Hospital & facility affiliations
- Mayo Clinic Health System - Mankato
- Mayo Clinic Health System - Fairmont
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211006002138 | MN | Practitioner - Emergency Medicine | 9234537192 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Fairmont | Current |
Accepting new patients | |
| Mayo Clinic Health System-St James | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-St James | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients |
Locations
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431
1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261
501 State St N
Waseca, MN 56093
Phone (507) 835-1210
Interoperability endpoints
- tcarlson1986169@ehrdirect.mayoclinicmsg.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 69619 | MN | Yes |
Addresses
Primary practice location
1025 Marsh St
Mankato, MN 56001-4752
Mailing address
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
Other practice location 1
1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-5000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tcarlson1986169@ehrdirect.mayoclinicmsg.org |
Other providers in Mankato, MN
- Allie Frances Carlson
- Barbara Carlson
- Dale L Carlson
- Heather R Carlson
- Logan Carlson
- Bhavini Hasmukh Carns
- Matthew R. Carns
- Leah Carpenter
- Nathan Carpenter
- Debbie Lynell Carstens
All providers in Mankato, MN · Emergency Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.