Gretchen Bea Rockstad, LRD is a medicare enrolled "Dietitian, Registered" provider in Mahnomen, Minnesota. Her current practice location is
410 4th St Nw, Mahnomen, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 835-2514.
Gretchen Bea Rockstad is licensed to practice in Minnesota (license number 1291) 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 1497776611.
Healthcare Provider's Profile
| Full Name | Gretchen Bea Rockstad |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 410 4th St Nw, Mahnomen, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497776611
- Provider Enumeration Date: 07/22/2006
- Last Update Date: 04/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 4688730229
- Enrollment ID: I20090305000224
Medical Identifiers
Medical identifiers for Gretchen Bea Rockstad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497776611 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 1291 (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. Gretchen Bea Rockstad allows following entities to bill medicare on her behalf.
| Provider Name | Sanford Clinic North |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1548532468
PECOS PAC ID: 4284546151
Enrollment ID: O20031209000264 |
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| Provider Name | Sanford Medical Center Fargo |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110701000031 |
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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. Gretchen Bea Rockstad 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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Gretchen Bea Rockstad, LRD
410 4th St Nw,
Mahnomen, MN 56557-4208
Ph: (218) 835-2514 | Gretchen Bea Rockstad, LRD
410 4th St Nw,
Mahnomen, MN 56557-4208
Ph: (218) 835-2514 |
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