Theresa Runyon, RN NP - Medicare Nurse Practitioner in Walnut Creek, CA

Theresa Runyon, RN NP is a medicare enrolled "Registered Nurse" in Walnut Creek, California. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice West Coast Kidney and her current practice location is 112 La Casa Via, Ste 210, Walnut Creek, California. You can reach out to her office (for appointments etc.) via phone at (925) 944-0351.

Theresa Runyon is licensed to practice in California (license number RN43220) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316948235.

Contact Information

Theresa Runyon, RN NP
112 La Casa Via, Ste 210,
Walnut Creek, CA 94598-3091
(925) 944-0351
(925) 944-1957

Map and Direction




Provider's Profile

Full NameTheresa Runyon
GenderFemale
SpecialityNurse Practitioner
Experience22 Years
Location112 La Casa Via, Walnut Creek, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theresa Runyon graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1316948235
  • Provider Enumeration Date: 08/02/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8820076425
  • Enrollment ID: I20040709001338

Medical Identifiers

Medical identifiers for Theresa Runyon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316948235NPI-NPPES
GR0020610MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner MD13953 (California)Primary
163W00000XRegistered Nurse RN43220 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
West Coast Kidney175970014949

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. Theresa Runyon allows following entities to bill medicare on her behalf.
Entity NameDiablo Nephrology Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194734731
PECOS PAC ID: 2365420965
Enrollment ID: O20040709001347
Entity NameWest Coast Kidney
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952914681
PECOS PAC ID: 1759700149
Enrollment ID: O20201005001363

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. Theresa Runyon 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
Theresa Runyon, RN NP
112 La Casa Via, Ste 210,
Walnut Creek, CA 94598-3091

Ph: (925) 944-0351
Theresa Runyon, RN NP
112 La Casa Via, Ste 210,
Walnut Creek, CA 94598-3091

Ph: (925) 944-0351

Reviews and Comments


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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.