Rachel M R Gorham, RD, LD in Blaine, MN - Medicare Registered Dietitian Or Nutrition Professional Provider

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 10 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.

Contact Information

	Rachel M R Gorham, RD, LD
	11225 Ulysses St Ne, Blaine, MN 55434-4261
	(763) 302-2600
	(763) 302-2601

Map and Direction

Healthcare Provider's Profile

Full Name	Rachel M R Gorham
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	10 Years
Location	11225 Ulysses St Ne, Blaine, 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.

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
1487278214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	3830 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
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
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574

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
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

Reviews and Comments

Dietitian, Registered in Blaine, MN

Mrs. Lauren Carlson, R.D, L.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10961 Club West Pkwy Ste 100, Blaine, MN 55449 Phone: 763-528-2987
Lisa Diers Yoga And Nutrition Consulting Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9298 Central Ave Ne Ste 405, Blaine, MN 55434 Phone: 763-270-0042
Lori Jean Treb, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11855 Ulysses St Ne, Blaine, MN 55434 Phone: 763-785-4200 Fax: 763-785-8419

Rachel M R Gorham, RD, LD - Medicare Dietitian in Blaine, MN