Justina M Girod, MD | |
1809 S Main St, Upland, IN 46989-9257 | |
(765) 770-0650 | |
(765) 770-0652 |
Full Name | Justina M Girod |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 22 Years |
Location | 1809 S Main St, Upland, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497746895 | NPI | - | NPPES |
M12240461 | Other | IN | MEDICARE PTAN |
000000359608 | Other | BLUE CROSS BLUE SHIELD | |
P00967448 | Other | IN | RAILROAD MEDICARE |
200475910 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01058149A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Ball Memorial Hospital | Muncie, IN | Hospital |
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana University Health Fort Wayne Physicians, Llc | 5193138527 | 30 |
Indiana University Health Ball Memorial Physicians Inc | 9537072640 | 301 |
Entity Name | Indiana University Health Ball Memorial Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
Entity Name | Indiana University Health Fort Wayne Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316550445 PECOS PAC ID: 5193138527 Enrollment ID: O20210104001512 |
Mailing Address | Practice Location Address |
---|---|
Justina M Girod, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Justina M Girod, MD 1809 S Main St, Upland, IN 46989-9257 Ph: (765) 770-0650 |
David E Lentz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1809 S Main St, Upland, IN 46989 Phone: 765-770-0650 Fax: 765-770-0652 | |
Stephen A Phillips, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1809 S Main St, Upland, IN 46989 Phone: 765-998-6200 Fax: 765-998-6204 | |
Ashraf H Hanna, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1809 S Main St, Upland, IN 46989 Phone: 765-770-0650 Fax: 765-770-0652 |