Kendall Runnebaum, LSCSW is a medicare enrolled "Social Worker - Clinical" provider in Abilene, Kansas. Her current practice location is
1005 N Buckeye Ave, Abilene, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 236-8612.
Kendall Runnebaum is licensed to practice in Kansas (license number 4472) 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 1033446596.
Healthcare Provider's Profile
Full Name | Kendall Runnebaum |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1005 N Buckeye Ave, Abilene, Kansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033446596
- Provider Enumeration Date: 11/04/2009
- Last Update Date: 05/31/2020
Medicare PECOS Information:
- PECOS PAC ID: 3577784503
- Enrollment ID: I20170217001236
Medical Identifiers
Medical identifiers for Kendall Runnebaum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033446596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 578 (Kansas) | Secondary |
1041C0700X | Social Worker - Clinical | 4472 (Kansas) | 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. Kendall Runnebaum allows following entities to bill medicare on her behalf.
Entity Name | Patricia Denton-edwards Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316372600 PECOS PAC ID: 2668786336 Enrollment ID: O20150810000407 |
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Entity Name | Mended Hearts Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457898751 PECOS PAC ID: 1759708605 Enrollment ID: O20200824003287 |
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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. Kendall Runnebaum 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 |
Kendall Runnebaum, LSCSW 1005 N Buckeye Ave, Abilene, KS 67410-1940 Ph: (785) 236-8612 | Kendall Runnebaum, LSCSW 1005 N Buckeye Ave, Abilene, KS 67410-1940 Ph: (785) 236-8612 |
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