Rachel Fog, RD, LD, CDCES in Minnetonka, MN - Medicare Dietitian, Registered Provider

Rachel Fog, RD, LD, CDCES is a medicare enrolled "Dietitian, Registered" provider in Minnetonka, Minnesota. Her current practice location is 14001 Ridgedale Dr Ste 200, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 249-2000.

Rachel Fog is licensed to practice in Minnesota (license number 3087) 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 1407139868.

Contact Information

	Rachel Fog, RD, LD, CDCES
	14001 Ridgedale Dr Ste 200, Minnetonka, MN 55305-1747
	(952) 249-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rachel Fog
Gender	Female
Speciality	Dietitian, Registered
Location	14001 Ridgedale Dr Ste 200, Minnetonka, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407139868
Provider Enumeration Date: 09/22/2011
Last Update Date: 10/10/2024

Medicare PECOS Information:

PECOS PAC ID: 5597932533
Enrollment ID: I20140423001012

Medical Identifiers

Medical identifiers for Rachel Fog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407139868	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	3087 (Minnesota)	Secondary
133V00000X	Dietitian, Registered	3087 (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. Rachel Fog allows following entities to bill medicare on her behalf.

Provider Name	Fairview Health Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Provider Name	Fairview Express Care
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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 Fog 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 Fog, RD, LD, CDCES 5437 185th Ct Ne, Columbus, MN 55092-4402 Ph: (651) 468-9207	Rachel Fog, RD, LD, CDCES 14001 Ridgedale Dr Ste 200, Minnetonka, MN 55305-1747 Ph: (952) 249-2000

Reviews and Comments

Dietitian, Registered in Minnetonka, MN

Viverant, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12324 Wayzata Blvd, Minnetonka, MN 55305 Phone: 952-835-4512
Ms. Katherine Thistle Rivard, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 Phone: 763-370-9569
Mrs. Bethany Joy Motley, RD Dietitian Medicare: Medicare Enrolled Practice Location: 5625 Vine Hill Rd, Minnetonka, MN 55345 Phone: 218-213-6472
Mrs. Margaret Emily Eaton, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10500 Wayzata Blvd, Minnetonka, MN 55305 Phone: 952-224-1919
Bethanyrd Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 5625 Vine Hill Rd, Minnetonka, MN 55345 Phone: 218-213-6472
Colleen A Lofgren, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12455 Ridgedale Dr, Minnetonka, MN 55305 Phone: 952-314-7035

Rachel Fog, RD, LD, CDCES - Medicare Dietitian in Minnetonka, MN