| Abigail Grace Goforth, RDN | |
|
1200 6th Ave N, Saint Cloud, MN 56303-2736 | |
| (320) 240-2100 | |
| Not Available |
| Full Name | Abigail Grace Goforth |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 1 Years |
| Location | 1200 6th Ave N, Saint Cloud, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235092412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86346764 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 800 |
| Provider Name | Centracare Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Provider Name | Centracare Health System-nr LLC |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
| Provider Name | Centracare Health System-nr LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
| Provider Name | Centracare Clinic Southwest LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail Grace Goforth, RDN 1200 6th Ave N, Saint Cloud, MN 56303-2736 Ph: (320) 240-2100 | Abigail Grace Goforth, RDN 1200 6th Ave N, Saint Cloud, MN 56303-2736 Ph: (320) 240-2100 |
Heidi Grace Braun, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 |
Kimberly Marie Dodds-thompson, RDN, LD, CDCES Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3290 42nd Ave S, Saint Cloud, MN 56301 Phone: 320-227-5000 |
Ms. Kelli Jo Jensch, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-229-4916 |
Haleigh Storkel, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-3342 Fax: 320-252-3501 |
Hannah Warzecha, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-255-5897 |
Tiffany Toren, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 |
Mr. Brian Michael Vetter, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-255-6376 |