Rachael Marie Gordon, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Minneapolis, Minnesota. Her current practice location is
2211 Riverside Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(801) 580-9902.
Rachael Marie Gordon is licensed to practice in * (Not Available) (license number ) 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 1689289787.
Provider's Profile
| Full Name | Rachael Marie Gordon |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2211 Riverside Ave, Minneapolis, Minnesota |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1689289787
- Provider Enumeration Date: 09/15/2020
- Last Update Date: 09/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 4183093552
- Enrollment ID: I20221206002765
Medical Identifiers
Medical identifiers for Rachael Marie Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689289787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Rachael Marie Gordon 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 |
|---|
Rachael Marie Gordon,
2220 E Franklin Ave Apt 111,
Minneapolis, MN 55404-2252
Ph: (801) 580-9902 | Rachael Marie Gordon,
2211 Riverside Ave,
Minneapolis, MN 55454-1350
Ph: (801) 580-9902 |
Reviews and Comments