Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominic J Marcuccio, PA

Individual provider Physician Assistant · NPI 1598866352

Dominic J Marcuccio, PA is a Physician Assistant in Bloomington, Minnesota. Qualified in 2002, 24 years ago. Practices with Emergency Physicians Professional Association, a 271-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
24
Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435
Phone: (952) 835-9880
Fax: (952) 857-1554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10548 (MN)

Record details

NPI number1598866352
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESJune 12, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Emergency Physicians Professional Association — 271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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