Mr. Clarence David Runnels Iii is a Cary, North Carolina based nurse practitioner with 7 years of experience in Psych/Mental Health. He completed his graduation in 2018. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Mr. Clarence David Runnels Iii is 5011070 for Psych/Mental Health in North Carolina. His current practice location is 523 Keisler Dr Ste 202, Cary. Patients can reach him at 919-601-6442. Mr. Clarence David Runnels Iii is PMHNP-BC with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1487129649. Mr. Clarence David Runnels Iii provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mr. Clarence David Runnels Iii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mr. Clarence David Runnels Iii
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Male
Credentials:
PMHNP-BC
Accepts Medicare Assignment:
May Accept
Practice Address:
523 Keisler Dr Ste 202, Cary, North Carolina, 27518-7099
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3870838576
Enrollment ID:
I20181228000741
NPI Number:
1487129649
NPI Enumeration Date:
03 Oct, 2018
NPI Last Update On:
04 Dec, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Clarence David Runnels Iii are as mentioned below.
License Number
Specialization
State
Status
5011070
Psych/Mental Health
North Carolina
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Clarence David Runnels Iii is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Innovative Behavioral Health Services Pc (5799929675)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Clarence David Runnels Iii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2018010871
Other
North Carolina
ANCC CERTIFICATION NUMBER
5011070
Other
North Carolina
NCBON LICENSE NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Clarence David Runnels Iii 523 Keisler Dr, Cary, North Carolina
Zip:
27518-7099
Phone Number:
919-601-6442
Patients can reach Mr. Clarence David Runnels Iii at 523 Keisler Dr Ste 202, Cary, North Carolina or can call to book an appointment on 919-601-6442.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.