Rachel Fog, RD, LD, CDE - Medicare Dietitian in Maple Grove, MN

Rachel Fog, RD, LD, CDE is a medicare enrolled "Dietitian, Registered - Nutrition, Pediatric" provider in Maple Grove, Minnesota. Her current practice location is 14500 99th Ave N, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 898-1000.

Rachel Fog is licensed to practice in Minnesota (license number 3087) 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 1407139868.

Contact Information

Rachel Fog, RD, LD, CDE
14500 99th Ave N,
Maple Grove, MN 55369-4730
(763) 898-1000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameRachel Fog
GenderFemale
SpecialityDietitian, Registered - Nutrition, Pediatric
Location14500 99th Ave N, Maple Grove, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407139868
  • Provider Enumeration Date: 09/22/2011
  • Last Update Date: 12/30/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5597932533
  • Enrollment ID: I20140423001012

Medical Identifiers

Medical identifiers for Rachel Fog such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407139868NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133VN1004XDietitian, Registered - Nutrition, Pediatric 3087 (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. Rachel Fog allows following entities to bill medicare on her behalf.
Provider NameFairview Health Services
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Provider NameFairview Express Care
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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. Rachel Fog 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 AddressPractice Location Address
Rachel Fog, RD, LD, CDE
14500 99th Ave N,
Maple Grove, MN 55369-4730

Ph: (763) 898-1000
Rachel Fog, RD, LD, CDE
14500 99th Ave N,
Maple Grove, MN 55369-4730

Ph: (763) 898-1000

Reviews and Comments


Dietitian, Registered in Maple Grove, MN

Persevere Wellness Llc
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Phone: 763-267-2015    
Barbara I Benson, RD
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Practice Location: 14500 99th Ave N, Maple Grove, MN 55369
Phone: 763-898-1073    
Jennifer Bremer, RD, LD
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Practice Location: 14500 99th Ave N, Maple Grove, MN 55369
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Joy Nieves Anderson, RD
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Medicare: Not Enrolled in Medicare
Practice Location: 9630 Grove Cir N Ste 200, Maple Grove, MN 55369
Phone: 763-520-7870    Fax: 763-520-7580
Carrie M Reynoso, RD, LD
Dietitian
Medicare: Medicare Enrolled
Practice Location: 14500 99th Ave N, Maple Grove, MN 55369
Phone: 763-898-1000    
Mrs. Tracy Mindiola, RD
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Medicare: Medicare Enrolled
Practice Location: 12488 74th Ave N, Maple Grove, MN 55369
Phone: 763-267-2015    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.