Kerri Shepheard Rundstrom, NP is a medicare enrolled "Nurse Practitioner - Family" in Brookneal, Virginia. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centra Medical Group Llc and her current practice location is
104 Carolina Ave, Brookneal, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 376-2325.
Kerri Shepheard Rundstrom is licensed to practice in Virginia (license number 0024183390) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073260824.
Provider's Profile
Full Name | Kerri Shepheard Rundstrom |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 3 Years |
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Location | 104 Carolina Ave, Brookneal, Virginia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kerri Shepheard Rundstrom graduated from nursing school in 2021
NPI Data:
- NPI Number: 1073260824
- Provider Enumeration Date: 03/02/2022
- Last Update Date: 03/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365829157
- Enrollment ID: I20220517001484
Medical Identifiers
Medical identifiers for Kerri Shepheard Rundstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073260824 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 0024183390 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Centra Medical Group Llc | 4789606088 | 603 |
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. Kerri Shepheard Rundstrom allows following entities to bill medicare on her behalf.
Entity Name | Centra Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
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Entity Name | Klinic Medical Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740980630 PECOS PAC ID: 1456716976 Enrollment ID: O20231114001201 |
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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. Kerri Shepheard Rundstrom 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 |
Kerri Shepheard Rundstrom, NP 140 Green Shutters Ln, Charlotte Court House, VA 23923-3309 Ph: (434) 315-4282 | Kerri Shepheard Rundstrom, NP 104 Carolina Ave, Brookneal, VA 24528-2643 Ph: (434) 376-2325 |
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