Mayly Thor, RD, LD in Brooklyn Center, MN - Medicare Dietitian, Registered Provider

Mayly Thor, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Brooklyn Center, Minnesota. Her current practice location is 6200 Shingle Creek Pkwy Ste 250, Brooklyn Center, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 299-6431.

Mayly Thor is licensed to practice in Minnesota (license number 1930) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487367017.

Contact Information

	Mayly Thor, RD, LD
	6200 Shingle Creek Pkwy Ste 250, Brooklyn Center, MN 55430-2107
	(763) 299-6431
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mayly Thor
Gender	Female
Speciality	Dietitian, Registered
Location	6200 Shingle Creek Pkwy Ste 250, Brooklyn Center, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487367017
Provider Enumeration Date: 12/28/2022
Last Update Date: 01/05/2023

Medicare PECOS Information:

PECOS PAC ID: 6103297601
Enrollment ID: I20230119003188

Medical Identifiers

Medical identifiers for Mayly Thor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487367017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1930 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mayly Thor allows following entities to bill medicare on her behalf.

Provider Name	Kidney Specialists Of Minnesota Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1629010228 PECOS PAC ID: 5092616029 Enrollment ID: O20040407001085

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. Mayly Thor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mayly Thor, RD, LD 2446 Pascal St, Roseville, MN 55113-3124 Ph: (612) 247-8432	Mayly Thor, RD, LD 6200 Shingle Creek Pkwy Ste 250, Brooklyn Center, MN 55430-2107 Ph: (763) 299-6431

Reviews and Comments

Dietitian, Registered in Brooklyn Center, MN

Katherine M Carlson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6200 Shingle Creek Pkwy, Ste 300, Brooklyn Center, MN 55430 Phone: 763-746-9010 Fax: 763-746-9022
Denise M Brown, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 6845 Lee Ave N, Brooklyn Center, MN 55429 Phone: 763-503-4400 Fax: 763-503-4395
Loshi Vue, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 6500 Brooklyn Blvd, Suite 202, Brooklyn Center, MN 55429 Phone: 612-518-6826
Nutrilibrium Llc Dietitian Medicare: Medicare Enrolled Practice Location: 6500 Brooklyn Blvd, Suite 202, Brooklyn Center, MN 55429 Phone: 612-518-6826

Mayly Thor, RD, LD - Medicare Dietitian in Brooklyn Center, MN