Carol Reid Runyan, AUD is a medicare enrolled "Audiologist-hearing Aid Fitter" provider in Johnson City, Tennessee. Her current practice location is
701 N State Of Franklin Rd Ste 5, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 928-9285.
Carol Reid Runyan is licensed to practice in Virginia (license number 2101001591) 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 1316929458.
Healthcare Provider's Profile
| Full Name | Carol Reid Runyan |
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| Gender | Female |
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| Speciality | Audiologist-hearing Aid Fitter |
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| Location | 701 N State Of Franklin Rd Ste 5, Johnson City, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316929458
- Provider Enumeration Date: 11/15/2005
- Last Update Date: 11/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 3577518257
- Enrollment ID: I20231129001723
Medical Identifiers
Medical identifiers for Carol Reid Runyan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316929458 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 2201001303 (Virginia) | Secondary |
| 231H00000X | Audiologist | A0000001097 (Tennessee) | Secondary |
| 237700000X | Hearing Instrument Specialist | (* (Not Available)) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | 2101001591 (Virginia) | 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. Carol Reid Runyan allows following entities to bill medicare on her behalf.
| Provider Name | Yuma Regional Medical Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1194706655
PECOS PAC ID: 2062314826
Enrollment ID: O20040122000526 |
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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. Carol Reid Runyan 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 |
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Carol Reid Runyan, AUD
6700 Washington Ave S,
Eden Prairie, MN 55344-3405
Ph: (800) 328-8602 | Carol Reid Runyan, AUD
701 N State Of Franklin Rd Ste 5,
Johnson City, TN 37604-3645
Ph: (423) 928-9285 |
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