Jennifer Lea Runde, is a
Counselor - School based in Colgate, Wisconsin. Jennifer Lea Runde is licensed to practice in Wisconsin (license number 3590000965) and her current practice location is
3294 Willow Creek Rd, Colgate, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 628-7825.
NPI number for Jennifer Lea Runde is 1699609875 and her current mailing address is 3294 Willow Creek Rd, Colgate, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699609875.
Healthcare Provider's Profile
| Full Name | Jennifer Lea Runde |
|---|
| Gender | Female |
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| Speciality | Counselor - School |
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| Location | 3294 Willow Creek Rd, Colgate, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699609875
- Provider Enumeration Date: 06/11/2026
- Last Update Date: 06/11/2026
Medical Identifiers
Medical identifiers for Jennifer Lea Runde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699609875 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YS0200X | Counselor - School | 3590000965 (Wisconsin) | 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. Jennifer Lea Runde is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jennifer Lea Runde, 3294 Willow Creek Rd, Colgate, WI 53017-9534 Ph: (262) 628-7825 | Jennifer Lea Runde, 3294 Willow Creek Rd, Colgate, WI 53017-9534 Ph: (262) 628-7825 |
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