Matthew R Runde, MD is a medicare enrolled "Ophthalmology" physician in Onalaska, Wisconsin. His current practice location is
3111 Gunderson Drive, Onalaska, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 796-8630.
Matthew R Runde is licensed to practice in Wisconsin (license number 42033) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619979663.
Physician's Profile
| Full Name | Matthew R Runde |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 3111 Gunderson Drive, Onalaska, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619979663
- Provider Enumeration Date: 06/02/2005
- Last Update Date: 04/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 6507829983
- Enrollment ID: I20041106000048
Medical Identifiers
Medical identifiers for Matthew R Runde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619979663 | NPI | - | NPPES |
| 34015100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207W00000X | Ophthalmology | 42033 (Wisconsin) | 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. Matthew R Runde allows following entities to bill medicare on his behalf.
| Entity Name | Gundersen Clinic Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
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| Entity Name | Gundersen Lutheran Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
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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. Matthew R Runde 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 |
Matthew R Runde, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Matthew R Runde, MD 3111 Gunderson Drive, Onalaska, WI 54650-8447 Ph: (608) 796-8630 |
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