Dr Keith Roberts Runyan, MD is a
Internal Medicine - Nephrology physician based in St Pete Beach, Florida. Dr Keith Roberts Runyan is licensed to practice in Florida (license number ME62416) and his current practice location is 3305 W Maritana Dr, St Pete Beach, Florida. He can be reached at his office (for appointments etc.) via phone at
(813) 502-0529.
NPI number for Dr Keith Roberts Runyan is 1104801018 and his current mailing address is 3305 W Maritana Dr, St Pete Beach, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104801018.
Physician's Profile
Full Name | Dr Keith Roberts Runyan |
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Gender | Male |
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Speciality | Internal Medicine - Nephrology |
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Location | 3305 W Maritana Dr, St Pete Beach, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104801018
- Provider Enumeration Date: 12/13/2005
- Last Update Date: 07/09/2018
Medical Identifiers
Medical identifiers for Dr Keith Roberts Runyan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104801018 | NPI | - | NPPES |
ME62416 | Other | FL | STATE LICENSE NUMBER |
262962300 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RN0300X | Internal Medicine - Nephrology | ME62416 (Florida) | Primary |
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. Dr Keith Roberts Runyan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Keith Roberts Runyan, MD 3305 W Maritana Dr, St Pete Beach, FL 33706 Ph: (813) 502-0529 | Dr Keith Roberts Runyan, MD 3305 W Maritana Dr, St Pete Beach, FL 33706 Ph: (813) 502-0529 |
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