Leah Thyberg Rundlett, DNP, FNP in Crownsville, MD

Leah Thyberg Rundlett, DNP, FNP is a medicare enrolled "Nurse Practitioner" in Crownsville, Maryland. Her current practice location is 1212 Severnview Dr, Crownsville, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 280-4637.

Leah Thyberg Rundlett is licensed to practice in Maryland (license number R245651) 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 1407639743.

Contact Information

	Leah Thyberg Rundlett, DNP, FNP
	1212 Severnview Dr, Crownsville, MD 21032-1105
	(443) 280-4637
	Not Available

Map and Direction

Provider's Profile

Full Name	Leah Thyberg Rundlett
Gender	Female
Speciality	Nurse Practitioner
Location	1212 Severnview Dr, Crownsville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407639743
Provider Enumeration Date: 08/18/2023
Last Update Date: 01/11/2025

Medicare PECOS Information:

PECOS PAC ID: 4789101353
Enrollment ID: I20250507001287

Medical Identifiers

Medical identifiers for Leah Thyberg Rundlett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407639743	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R245651 (Maryland)	Secondary
363L00000X	Nurse Practitioner	R245651 (Maryland)	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. Leah Thyberg Rundlett allows following entities to bill medicare on her behalf.

Entity Name	Johns Hopkins Regional Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609195320 PECOS PAC ID: 3274720552 Enrollment ID: O20101213000710

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. Leah Thyberg Rundlett 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
Leah Thyberg Rundlett, DNP, FNP 1212 Severnview Dr, Crownsville, MD 21032-1105 Ph: (443) 280-4637	Leah Thyberg Rundlett, DNP, FNP 1212 Severnview Dr, Crownsville, MD 21032-1105 Ph: (443) 280-4637

Reviews and Comments

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Leah Thyberg Rundlett, DNP, FNP - Medicare Nurse Practitioner in Crownsville, MD