Mayly Thor, RD, LD - Medicare Dietitian in Brooklyn Center, MN

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Mayly Thor, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Brooklyn Center, Minnesota. Her current practice location is 6200 Shingle Creek Pkwy Ste 250, Brooklyn Center, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 299-6431.

Mayly Thor is licensed to practice in Minnesota (license number 1930) 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 1487367017.

Contact Information

Mayly Thor, RD, LD
6200 Shingle Creek Pkwy Ste 250,
Brooklyn Center, MN 55430-2107
(763) 299-6431
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMayly Thor
GenderFemale
SpecialityDietitian, Registered
Location6200 Shingle Creek Pkwy Ste 250, Brooklyn Center, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487367017
  • Provider Enumeration Date: 12/28/2022
  • Last Update Date: 01/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103297601
  • Enrollment ID: I20230119003188

Medical Identifiers

Medical identifiers for Mayly Thor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487367017NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 1930 (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. Mayly Thor allows following entities to bill medicare on her behalf.
Provider NameKidney Specialists Of Minnesota Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1629010228
PECOS PAC ID: 5092616029
Enrollment ID: O20040407001085
Provider NameEvergreen Nephrology Of The Midwest, Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1801597869
PECOS PAC ID: 3476914961
Enrollment ID: O20230803003901

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. Mayly Thor 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
Mayly Thor, RD, LD
2446 Pascal St,
Roseville, MN 55113-3124

Ph: (612) 247-8432		Mayly Thor, RD, LD
6200 Shingle Creek Pkwy Ste 250,
Brooklyn Center, MN 55430-2107

Ph: (763) 299-6431

Reviews and Comments


Dietitian, Registered in Brooklyn Center, MN

Katherine M Carlson, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 6200 Shingle Creek Pkwy, Ste 300, Brooklyn Center, MN 55430
Phone: 763-746-9010    Fax: 763-746-9022
Denise M Brown, RD
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 6845 Lee Ave N, Brooklyn Center, MN 55429
Phone: 763-503-4400    Fax: 763-503-4395
Loshi Vue, RD, LD
Dietitian
Medicare: Medicare Enrolled
Practice Location: 6500 Brooklyn Blvd, Suite 202, Brooklyn Center, MN 55429
Phone: 612-518-6826    
Nutrilibrium Llc
Dietitian
Medicare: Medicare Enrolled
Practice Location: 6500 Brooklyn Blvd, Suite 202, Brooklyn Center, MN 55429
Phone: 612-520-1126    Fax: 833-560-3704

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.