Carrie M Reynoso, RD, LD - Medicare Dietitian in Maple Grove, MN

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Carrie M Reynoso, RD, LD is a medicare enrolled "Dietitian, Registered" 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.

Carrie M Reynoso is licensed to practice in Minnesota (license number 2851) 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 1295061026.

Contact Information

Carrie M Reynoso, RD, LD
14500 99th Ave N,
Maple Grove, MN 55369-4730
(763) 898-1000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCarrie M Reynoso
GenderFemale
SpecialityDietitian, Registered
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: 1295061026
  • Provider Enumeration Date: 10/29/2009
  • Last Update Date: 12/11/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0446392187
  • Enrollment ID: I20100119000649

Medical Identifiers

Medical identifiers for Carrie M Reynoso such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295061026NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 2851 (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. Carrie M Reynoso 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 Clinics
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Provider NameFairview Express Care
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Provider NameTouchstone Mental Health
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1598899007
PECOS PAC ID: 7618027889
Enrollment ID: O20090609000526

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. Carrie M Reynoso 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
Carrie M Reynoso, RD, LD
14500 99th Ave N # Thaven,
Maple Grove, MN 55369-4730

Ph: (763) 898-1000		Carrie M Reynoso, RD, LD
14500 99th Ave N,
Maple Grove, MN 55369-4730

Ph: (763) 898-1000

Reviews and Comments


Dietitian, Registered in Maple Grove, MN

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Mrs. Tracy Mindiola, RD
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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.