Jacob Gorham, MS, RD, LD, NASM-CPT - Dietitian in State College, PA

Jacob Gorham, MS, RD, LD, NASM-CPT is a Dietitian, Registered based in State College, Pennsylvania. Jacob Gorham is licensed to practice in * (Not Available) (license number ) and his current practice location is 424 W Aaron Dr, State College, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (814) 234-1625.

NPI number for Jacob Gorham is 1396579967 and his current mailing address is 1000 W Aaron Dr Apt H07, State College, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396579967.

Contact Information

Jacob Gorham, MS, RD, LD, NASM-CPT
424 W Aaron Dr,
State College, PA 16803-3043
(814) 234-1625
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacob Gorham
GenderMale
SpecialityDietitian, Registered
Location424 W Aaron Dr, State College, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396579967
  • Provider Enumeration Date: 08/27/2024
  • Last Update Date: 08/27/2024

Medical Identifiers

Medical identifiers for Jacob Gorham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396579967NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Gorham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Gorham, MS, RD, LD, NASM-CPT
1000 W Aaron Dr Apt H07,
State College, PA 16803-3151

Ph: Not Available
Jacob Gorham, MS, RD, LD, NASM-CPT
424 W Aaron Dr,
State College, PA 16803-3043

Ph: (814) 234-1625

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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