Rachel M R Gorham, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Blaine, Minnesota. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Infinite Health Collaborative, Pa and her current practice location is
11225 Ulysses St Ne, Blaine, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 302-2600.
Rachel M R Gorham is licensed to practice in Minnesota (license number 3830) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487278214.
Healthcare Provider's Profile
| Full Name | Rachel M R Gorham |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 9 Years |
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| Location | 11225 Ulysses St Ne, Blaine, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Rachel M R Gorham graduated from medical school in 2016
NPI Data:
- NPI Number: 1487278214
- Provider Enumeration Date: 06/08/2020
- Last Update Date: 03/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133521669
- Enrollment ID: I20210707001109
Medical Identifiers
Medical identifiers for Rachel M R Gorham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487278214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 3830 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Infinite Health Collaborative, Pa | 1052225042 | 803 |
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 M R Gorham allows following entities to bill medicare on her behalf.
| Provider Name | Infinite Health Collaborative, Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1164474250
PECOS PAC ID: 1052225042
Enrollment ID: O20040209000574 |
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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 M R Gorham 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 |
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Rachel M R Gorham, RD, LD
4200 Dahlberg Dr Ste 300,
Golden Valley, MN 55422-4841
Ph: (952) 512-5600 | Rachel M R Gorham, RD, LD
11225 Ulysses St Ne,
Blaine, MN 55434-4261
Ph: (763) 302-2600 |
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