Jenelle L Justak, DO in Newburgh, IN

Jenelle L Justak, DO is a medicare enrolled "Pediatrics" physician in Newburgh, Indiana. Her current practice location is 4111 Gateway Blvd, Newburgh, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 853-5300.

Jenelle L Justak is licensed to practice in Indiana (license number 02002672A) 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 1356344766.

Contact Information

	Jenelle L Justak, DO
	4111 Gateway Blvd, Newburgh, IN 47630-8954
	(812) 853-5300
	(812) 858-4660

Map and Direction

Physician's Profile

Full Name	Jenelle L Justak
Gender	Female
Speciality	Pediatrics
Location	4111 Gateway Blvd, Newburgh, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356344766
Provider Enumeration Date: 05/31/2005
Last Update Date: 07/02/2013

Medicare PECOS Information:

PECOS PAC ID: 3274601836
Enrollment ID: I20081009000063

Medical Identifiers

Medical identifiers for Jenelle L Justak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356344766	NPI	-	NPPES
200453490	Medicaid	IN
000000305337	Other	IN	BCBS PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	02002672A (Indiana)	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. Jenelle L Justak allows following entities to bill medicare on her behalf.

Entity Name	Deaconess Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145

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. Jenelle L Justak 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
Jenelle L Justak, DO Po Box 1510, Evansville, IN 47706-1510 Ph: (812) 853-5300	Jenelle L Justak, DO 4111 Gateway Blvd, Newburgh, IN 47630-8954 Ph: (812) 853-5300

Reviews and Comments

Pediatrics Doctors in Newburgh, IN

Kenneth Herrmann, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4199 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-4280 Fax: 812-842-4580
Michelle Renee Estep, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4011 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-3880 Fax: 812-842-3916
Julie A Hurlock, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630 Phone: 812-853-5300 Fax: 812-858-4660
Barry S Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630 Phone: 812-853-5300 Fax: 812-858-4660
Rangassamy Meibalane, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4199 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-4280 Fax: 812-842-4580
Maria C Ranola, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4011 Gateway Blvd, Newburgh, IN 47630 Phone: 812-450-6815 Fax: 812-450-6822
Teresa L Martelli, Pediatrics Medicare: Medicare Enrolled Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630 Phone: 812-853-5300 Fax: 812-858-4660

Jenelle L Justak, DO - Medicare Pediatrics in Newburgh, IN