Mr Clarence David Runnels Iii, PMHNP-BC | |
402 N Main Street, Creedmoor, NC 27522 | |
(919) 529-2474 | |
(919) 529-2143 |
Full Name | Mr Clarence David Runnels Iii |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 402 N Main Street, Creedmoor, North Carolina |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487129649 | NPI | - | NPPES |
2018010871 | Other | NC | ANCC CERTIFICATION NUMBER |
5011070 | Other | NC | NCBON LICENSE NUMBER |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Innovative Behavioral Health Services Pc | 5799929675 | 4 |
Entity Name | Mindpath Care Centers North Carolina Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508803214 PECOS PAC ID: 4688655517 Enrollment ID: O20040526001582 |
Entity Name | Innovative Behavioral Health Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124367347 PECOS PAC ID: 5799929675 Enrollment ID: O20130913000814 |
Mailing Address | Practice Location Address |
---|---|
Mr Clarence David Runnels Iii, PMHNP-BC 105 Hickory Valley Ct, Apex, NC 27502-3736 Ph: (919) 538-6973 | Mr Clarence David Runnels Iii, PMHNP-BC 402 N Main Street, Creedmoor, NC 27522 Ph: (919) 529-2474 |
Kaitlyn Ann Coyle, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2503 E Lyon Station Rd, Creedmoor, NC 27522 Phone: 919-528-1535 | |
Tara Neal, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2527 E Lyon Station Rd, Creedmoor, NC 27522 Phone: 919-528-1535 | |
Vincent John Cella, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 Main Street, Creedmoor, NC 27522 Phone: 919-529-2474 | |
Tonya Fisher Pruitt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1614 Nc Highway 56, Creedmoor, NC 27522 Phone: 919-582-7171 | |
Mrs. Robin Peterson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3185 Hardie St, Creedmoor, NC 27522 Phone: 919-427-0926 | |
Alexia Edwards, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1614 Nc Highway 56, Creedmoor, NC 27522 Phone: 919-575-6103 | |
Lynwood E Carlton, MSN, PMHNP-BC, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2110 Orchard Ct, Creedmoor, NC 27522 Phone: 919-225-7645 |