Jacqueline Rene Runner, FNP in Annapolis, MD - Medicare Nurse Practitioner

Jacqueline Rene Runner, FNP is a medicare enrolled "Nurse Practitioner - Family" in Annapolis, Maryland. Her current practice location is 2114 Generals Hwy, Annapolis, Maryland. You can reach out to her office (for appointments etc.) via phone at (888) 808-6483.

Jacqueline Rene Runner is licensed to practice in Maryland (license number R111672) 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 1396772257.

Contact Information

	Jacqueline Rene Runner, FNP
	2114 Generals Hwy, Annapolis, MD 21401-7488
	(888) 808-6483
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Rene Runner
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2114 Generals Hwy, Annapolis, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396772257
Provider Enumeration Date: 06/27/2006
Last Update Date: 11/19/2014

Medicare PECOS Information:

PECOS PAC ID: 2264457431
Enrollment ID: I20110607000484

Medical Identifiers

Medical identifiers for Jacqueline Rene Runner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396772257	NPI	-	NPPES
010188733	Medicaid	VA
010188652	Medicaid	VA
010188695	Medicaid	VA
255202700	Medicaid	MD
010188768	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R111672 (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. Jacqueline Rene Runner allows following entities to bill medicare on her behalf.

Entity Name	Luminis Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146

Entity Name	Urgent Care Medicine, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174804918 PECOS PAC ID: 2163698101 Enrollment ID: O20111222000219

Entity Name	Umms Ambulatory Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487251997 PECOS PAC ID: 8426461427 Enrollment ID: O20210113000074

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. Jacqueline Rene Runner 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
Jacqueline Rene Runner, FNP 2209 Defense Hwy, Suite C, Crofton, MD 21114-2403 Ph: (443) 332-4260	Jacqueline Rene Runner, FNP 2114 Generals Hwy, Annapolis, MD 21401-7488 Ph: (888) 808-6483

Reviews and Comments

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Mrs. Hollis Stewart Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 678 Genessee St, Annapolis, MD 21401 Phone: 412-508-7896
Lisa Kristine Butler, MSN, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2002 Medical Pkwy Ste 670, Annapolis, MD 21401 Phone: 443-481-1150

Jacqueline Rene Runner, FNP - Medicare Nurse Practitioner in Annapolis, MD