Dr Paul Edgar Runge, MD is a medicare enrolled "Ophthalmology" physician in Lakewood Ranch, Florida. His current practice location is
13411 Blythefield Ter, Lakewood Ranch, Florida. You can reach out to his office (for appointments etc.) via phone at
(941) 894-4400.
Dr Paul Edgar Runge is licensed to practice in Tennessee (license number 19486) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881691335.
Physician's Profile
Full Name | Dr Paul Edgar Runge |
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Gender | Male |
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Speciality | Ophthalmology |
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Location | 13411 Blythefield Ter, Lakewood Ranch, Florida |
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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: 1881691335
- Provider Enumeration Date: 06/30/2005
- Last Update Date: 12/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668561093
- Enrollment ID: I20100304000216
Medical Identifiers
Medical identifiers for Dr Paul Edgar Runge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881691335 | NPI | - | NPPES |
0805726 | Other | FL | UNITED HEALTHCARE |
31874 | Other | FL | BCBS/FL |
379992100 | Medicaid | FL | |
3488212-001 | Other | FL | CIGNA PAL |
0401145 | Other | FL | GHI |
ME0058780 | Other | FL | FL LICENSE |
4197868 | Other | FL | AETNA PPO, MC, EC |
0927003 | Other | FL | AETNA HMO |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | ME58780 (Florida) | Secondary |
207WX0107X | Ophthalmology - Retina Specialist | A39159 (California) | Secondary |
208000000X | Pediatrics | A39159 (California) | Secondary |
207W00000X | Ophthalmology | 19486 (Tennessee) | 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 Paul Edgar Runge 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 |
Dr Paul Edgar Runge, MD 13411 Blythefield Ter, Lakewood Ranch, FL 34202-2456 Ph: (941) 894-4400 | Dr Paul Edgar Runge, MD 13411 Blythefield Ter, Lakewood Ranch, FL 34202-2456 Ph: (941) 894-4400 |
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