Theresa Runyon, RN NP in Walnut Creek, CA - Medicare Nurse Practitioner

Theresa Runyon, RN NP is a medicare enrolled "Registered Nurse" in Walnut Creek, California. She graduated from nursing school in 2002 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice West Coast Kidney and her current practice location is 112 La Casa Via, Ste 210, Walnut Creek, California. You can reach out to her office (for appointments etc.) via phone at (925) 944-0351.

Theresa Runyon is licensed to practice in California (license number RN43220) 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 1316948235.

Contact Information

	Theresa Runyon, RN NP
	112 La Casa Via, Ste 210, Walnut Creek, CA 94598-3091
	(925) 944-0351
	(925) 944-1957

Map and Direction

Provider's Profile

Full Name	Theresa Runyon
Gender	Female
Speciality	Nurse Practitioner
Experience	24 Years
Location	112 La Casa Via, Walnut Creek, California
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:

Theresa Runyon graduated from nursing school in 2002

NPI Data:

NPI Number: 1316948235
Provider Enumeration Date: 08/02/2005
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 8820076425
Enrollment ID: I20040709001338

Medical Identifiers

Medical identifiers for Theresa Runyon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316948235	NPI	-	NPPES
GR0020610	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	MD13953 (California)	Secondary
163W00000X	Registered Nurse	RN43220 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John Muir Medical Center - Concord Campus	Concord, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
West Coast Kidney	1759700149	51

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. Theresa Runyon allows following entities to bill medicare on her behalf.

Entity Name	Diablo Nephrology Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194734731 PECOS PAC ID: 2365420965 Enrollment ID: O20040709001347

Entity Name	West Coast Kidney
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952914681 PECOS PAC ID: 1759700149 Enrollment ID: O20201005001363

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. Theresa Runyon 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
Theresa Runyon, RN NP 112 La Casa Via, Ste 210, Walnut Creek, CA 94598-3091 Ph: (925) 944-0351	Theresa Runyon, RN NP 112 La Casa Via, Ste 210, Walnut Creek, CA 94598-3091 Ph: (925) 944-0351

Reviews and Comments

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Theresa Runyon, RN NP - Medicare Nurse Practitioner in Walnut Creek, CA