Madison Taylor Gorton, RDN in Boise, ID - Medicare Dietitian, Registered Provider

Madison Taylor Gorton, RDN is a medicare enrolled "Dietitian, Registered" provider in Boise, Idaho. Her current practice location is 305 E Jefferson St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 706-5437.

Madison Taylor Gorton is licensed to practice in Oregon (license number 86170684) 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 1265199525.

Contact Information

	Madison Taylor Gorton, RDN
	305 E Jefferson St, Boise, ID 83712-6231
	(208) 706-5437
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Madison Taylor Gorton
Gender	Female
Speciality	Dietitian, Registered
Location	305 E Jefferson St, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265199525
Provider Enumeration Date: 11/22/2021
Last Update Date: 05/04/2022

Medicare PECOS Information:

PECOS PAC ID: 5294113775
Enrollment ID: I20220613001547

Medical Identifiers

Medical identifiers for Madison Taylor Gorton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265199525	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86170684 (Oregon)	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. Madison Taylor Gorton allows following entities to bill medicare on her behalf.

Provider Name	St Lukes Clinic-treasure Valley Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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. Madison Taylor Gorton 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
Madison Taylor Gorton, RDN 190 E Bannock St, Boise, ID 83712-6241 Ph: () -	Madison Taylor Gorton, RDN 305 E Jefferson St, Boise, ID 83712-6231 Ph: (208) 706-5437

Reviews and Comments

Dietitian, Registered in Boise, ID

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Madison Taylor Gorton, RDN - Medicare Dietitian in Boise, ID