Ms Bernadette Jamie Rundhaug, MED is a medicare enrolled "Counselor - Professional" provider in Cottonwood, Idaho. Her current practice location is
701 Lewiston St, Cottonwood, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 962-3251.
Ms Bernadette Jamie Rundhaug is licensed to practice in Idaho (license number LCPC-7085) 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 1003948845.
Healthcare Provider's Profile
| Full Name | Ms Bernadette Jamie Rundhaug |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 701 Lewiston St, Cottonwood, Idaho |
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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: 1003948845
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 10/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 4183166796
- Enrollment ID: I20240611003152
Medical Identifiers
Medical identifiers for Ms Bernadette Jamie Rundhaug such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003948845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | LCPC-7085 (Idaho) | 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. Ms Bernadette Jamie Rundhaug allows following entities to bill medicare on her behalf.
| Entity Name | St. Mary's Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841292307
PECOS PAC ID: 5092773168
Enrollment ID: O20050316000814 |
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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. Ms Bernadette Jamie Rundhaug 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 |
|---|
Ms Bernadette Jamie Rundhaug, MED
Po Box 137,
Cottonwood, ID 83522-0137
Ph: (208) 962-3251 | Ms Bernadette Jamie Rundhaug, MED
701 Lewiston St,
Cottonwood, ID 83522
Ph: (208) 962-3251 |
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