| Rachel Fog, RD, LD, CDCES | |
|
14001 Ridgedale Dr Ste 200, Minnetonka, MN 55305-1747 | |
| (952) 249-2000 | |
| Not Available |
| Full Name | Rachel Fog |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 16 Years |
| Location | 14001 Ridgedale Dr Ste 200, Minnetonka, 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 |
|---|---|---|---|
| 1407139868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | 3087 (Minnesota) | Secondary |
| 133V00000X | Dietitian, Registered | 3087 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Obgyn Of Minnesota Pllc | 1355396110 | 89 |
| Provider Name | Fairview Health Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Provider Name | Fairview Clinics |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Provider Name | Premier Obgyn Of Minnesota Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801946223 PECOS PAC ID: 1355396110 Enrollment ID: O20050315000729 |
| Provider Name | Fairview Express Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Fog, RD, LD, CDCES 5437 185th Ct Ne, Columbus, MN 55092-4402 Ph: (651) 468-9207 | Rachel Fog, RD, LD, CDCES 14001 Ridgedale Dr Ste 200, Minnetonka, MN 55305-1747 Ph: (952) 249-2000 |
Viverant, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12324 Wayzata Blvd, Minnetonka, MN 55305 Phone: 952-835-4512 | |
Mrs. Bethany Joy Motley, RD Dietitian Medicare: Medicare Enrolled Practice Location: 5625 Vine Hill Rd, Minnetonka, MN 55345 Phone: 218-213-6472 | |
Mrs. Margaret Emily Eaton, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10500 Wayzata Blvd, Minnetonka, MN 55305 Phone: 952-224-1919 | |
Megan Elyse Carlson, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15325 Lake Rose Ln, Minnetonka, MN 55345 Phone: 612-554-0323 | |
Bethanyrd Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 5625 Vine Hill Rd, Minnetonka, MN 55345 Phone: 218-213-6472 | |
Colleen A Lofgren, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12455 Ridgedale Dr, Minnetonka, MN 55305 Phone: 952-314-7035 |