Mr Clarence David Runnels Iii, PMHNP-BC - Medicare Nurse Practitioner in Creedmoor, NC

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Mr Clarence David Runnels Iii, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Creedmoor, North Carolina. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Innovative Behavioral Health Services Pc and his current practice location is 402 N Main Street, Creedmoor, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 529-2474.

Mr Clarence David Runnels Iii is licensed to practice in North Carolina (license number 5011070) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1487129649.

Contact Information

Mr Clarence David Runnels Iii, PMHNP-BC
402 N Main Street,
Creedmoor, NC 27522
(919) 529-2474
(919) 529-2143

Map and Direction




Physician's Profile

Full NameMr Clarence David Runnels Iii
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location402 N Main Street, Creedmoor, North Carolina
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Clarence David Runnels Iii graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1487129649
  • Provider Enumeration Date: 10/03/2018
  • Last Update Date: 05/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870838576
  • Enrollment ID: I20181228000741

Medical Identifiers

Medical identifiers for Mr Clarence David Runnels Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487129649NPI-NPPES
5011070OtherNCNCBON LICENSE NUMBER
2018010871OtherNCANCC CERTIFICATION NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 5011070 (North Carolina)Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health 5011070 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5011070 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovative Behavioral Health Services Pc57999296754

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. Mr Clarence David Runnels Iii allows following entities to bill medicare on his behalf.
Entity NameMindpath Care Centers North Carolina Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508803214
PECOS PAC ID: 4688655517
Enrollment ID: O20040526001582
Entity NameInnovative Behavioral Health Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124367347
PECOS PAC ID: 5799929675
Enrollment ID: O20130913000814

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. Mr Clarence David Runnels Iii 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 AddressPractice Location Address
Mr Clarence David Runnels Iii, PMHNP-BC
523 Keisler Dr,
Cary, NC 27518-7099

Ph: (919) 601-6442		Mr Clarence David Runnels Iii, PMHNP-BC
402 N Main Street,
Creedmoor, NC 27522

Ph: (919) 529-2474

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.