Rachel M R Gorham, RD, LD - Medicare Dietitian in Blaine, MN

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Rachel M R Gorham, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Blaine, Minnesota. Her current practice location is 11225 Ulysses St Ne, Blaine, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 302-2600.

Rachel M R Gorham is licensed to practice in Minnesota (license number 3830) 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 1487278214.

Contact Information

Rachel M R Gorham, RD, LD
11225 Ulysses St Ne,
Blaine, MN 55434-4261
(763) 302-2600
(763) 302-2601

Map and Direction




Healthcare Provider's Profile

Full NameRachel M R Gorham
GenderFemale
SpecialityDietitian, Registered
Location11225 Ulysses St Ne, Blaine, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487278214
  • Provider Enumeration Date: 06/08/2020
  • Last Update Date: 03/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9133521669
  • Enrollment ID: I20210707001109

Medical Identifiers

Medical identifiers for Rachel M R Gorham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487278214NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 3830 (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 M R Gorham allows following entities to bill medicare on her behalf.
Provider NameInfinite Health Collaborative Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1164474250
PECOS PAC ID: 1052225042
Enrollment ID: O20040209000574

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 M R Gorham 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
Rachel M R Gorham, RD, LD
4200 Dahlberg Dr Ste 300,
Golden Valley, MN 55422-4841

Ph: (952) 512-5600		Rachel M R Gorham, RD, LD
11225 Ulysses St Ne,
Blaine, MN 55434-4261

Ph: (763) 302-2600

Reviews and Comments


Dietitian, Registered in Blaine, MN

Mrs. Lauren Carlson, R.D, L.D
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 10961 Club West Pkwy Ste 100, Blaine, MN 55449
Phone: 763-528-2987    
Lori Jean Treb,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 11855 Ulysses St Ne, Blaine, MN 55434
Phone: 763-785-4200    Fax: 763-785-8419
Leah Anna Marie Miskowiec, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2896 88th Ave Ne, Blaine, MN 55449
Phone: 763-438-3131    

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.