Jacob L Runyan, PA-C is a medicare enrolled "Physician Assistant" physician in Norfolk, Nebraska. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sunny Meadow Medical Clinic Pc and his current practice location is
305 N 37th St, Norfolk, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 370-4100.
Jacob L Runyan is licensed to practice in Nebraska (license number 1775) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881022960.
Physician's Profile
Full Name | Jacob L Runyan |
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Gender | Male |
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Speciality | Physician Assistant |
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Experience | 11 Years |
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Location | 305 N 37th St, Norfolk, Nebraska |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacob L Runyan graduated from medical school in 2013
NPI Data:
- NPI Number: 1881022960
- Provider Enumeration Date: 10/28/2013
- Last Update Date: 08/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163650078
- Enrollment ID: I20140122000235
Medical Identifiers
Medical identifiers for Jacob L Runyan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881022960 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1775 (Nebraska) | Secondary |
363A00000X | Physician Assistant | 1775 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Sunny Meadow Medical Clinic Pc | 9830360122 | 9 |
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. Jacob L Runyan 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 |
Jacob L Runyan, PA-C Po Box 70, Stuart, NE 68780-0070 Ph: (402) 924-3777 | Jacob L Runyan, PA-C 305 N 37th St, Norfolk, NE 68701-3275 Ph: (402) 370-4100 |
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