Jeffrey A Justus, DO | |
301 Henry St, North Vernon, IN 47265-1030 | |
(812) 352-4200 | |
Not Available |
Full Name | Jeffrey A Justus |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 301 Henry St, North Vernon, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811023864 | NPI | - | NPPES |
100373310 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 02000790 (Indiana) | Primary |
Entity Name | Indiana Physician Management-salem, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033408257 PECOS PAC ID: 0143406595 Enrollment ID: O20110519000111 |
Entity Name | Indiana Physician Management-jennings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861783326 PECOS PAC ID: 7911185509 Enrollment ID: O20110630000218 |
Entity Name | Indiana Physician Management Rush Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821364654 PECOS PAC ID: 7618130014 Enrollment ID: O20120523000003 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
Entity Name | Midwest Emergency Tell City, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699447540 PECOS PAC ID: 0840688610 Enrollment ID: O20211027002383 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey A Justus, DO 1700 South B St., Richmond, IN 47374 Ph: (765) 969-3510 | Jeffrey A Justus, DO 301 Henry St, North Vernon, IN 47265-1030 Ph: (812) 352-4200 |
Vasundhara Voleti, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4200 Fax: 812-352-4201 |