Mrs Jessica Mae Runkle, MS in Goldsboro, MD - Medicare Counselor Provider

Mrs Jessica Mae Runkle, MS is a medicare enrolled "Counselor - Mental Health" provider in Goldsboro, Maryland. Her current practice location is 316 Railroad Ave, Goldsboro, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 634-2380.

Mrs Jessica Mae Runkle is licensed to practice in Maryland (license number LC10729) 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 1184157000.

Contact Information

	Mrs Jessica Mae Runkle, MS
	316 Railroad Ave, Goldsboro, MD 21636-1126
	(410) 634-2380
	(833) 908-2287

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jessica Mae Runkle
Gender	Female
Speciality	Counselor - Mental Health
Location	316 Railroad Ave, Goldsboro, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184157000
Provider Enumeration Date: 04/07/2017
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 6103261722
Enrollment ID: I20240305001491

Medical Identifiers

Medical identifiers for Mrs Jessica Mae Runkle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184157000	NPI	-	NPPES
LC10729	Other	MD	PROFESSIONAL CLINICAL MENTAL HEALTH COUNSELOR
609550002	Medicaid	MD
609550005	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LC10729 (Maryland)	Secondary
101YM0800X	Counselor - Mental Health	LC10729 (Maryland)	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. Mrs Jessica Mae Runkle allows following entities to bill medicare on her behalf.

Entity Name	Choptank Community Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356388599 PECOS PAC ID: 0648189274 Enrollment ID: O20040128000303

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. Mrs Jessica Mae Runkle 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
Mrs Jessica Mae Runkle, MS 316 Railroad Ave, Goldsboro, MD 21636-1126 Ph: (410) 634-2380	Mrs Jessica Mae Runkle, MS 316 Railroad Ave, Goldsboro, MD 21636-1126 Ph: (410) 634-2380

Mrs Jessica Mae Runkle, MS - Medicare Counselor in Goldsboro, MD