Blair Camille Runde, PA-C is a medicare enrolled "Physician Assistant" provider in Clive, Iowa. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Qv Urgent Care Ia Pllc, On With Life Inc, Mercy Clinics Inc and her current practice location is
12493 University Ave Ste 100, Clive, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 358-9461.
Blair Camille Runde is licensed to practice in Iowa (license number 101525) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1013273143.
Healthcare Provider's Profile
| Full Name | Blair Camille Runde |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 12493 University Ave Ste 100, Clive, Iowa |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Blair Camille Runde graduated from medical school in 2020
NPI Data:
- NPI Number: 1013273143
- Provider Enumeration Date: 04/03/2012
- Last Update Date: 02/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 8022244631
- Enrollment ID: I20201014000768
Medical Identifiers
Medical identifiers for Blair Camille Runde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013273143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 5783 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 101525 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Qv Urgent Care Ia Pllc | 1052722147 | 28 |
| On With Life Inc | 4385553965 | 149 |
| Mercy Clinics Inc | 7911810882 | 373 |
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. Blair Camille Runde 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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Blair Camille Runde, PA-C
Po Box 1475,
Des Moines, IA 50305-1475
Ph: (515) 358-9461 | Blair Camille Runde, PA-C
12493 University Ave Ste 100,
Clive, IA 50325-8286
Ph: (515) 358-9461 |
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