Mrs Kathy Jo Justus, CFNP | |
495 East Main Street, Lebanon, VA 24266-1100 | |
(276) 889-3700 | |
(276) 889-5505 |
Full Name | Mrs Kathy Jo Justus |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 495 East Main Street, Lebanon, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093796146 | NPI | - | NPPES |
1093796146 | Medicaid | VA | |
010261295 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024166373 (Virginia) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024166373 (Virginia) | Secondary |
Entity Name | Highlands Community Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396774147 PECOS PAC ID: 8123014966 Enrollment ID: O20040426000408 |
Entity Name | Blue Ridge Medical Management Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
Entity Name | Southwestern Virginia Mental Health Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912964347 PECOS PAC ID: 3577571041 Enrollment ID: O20060324000094 |
Entity Name | Southeastern Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20081229000558 |
Entity Name | Virginia Pac Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073042800 PECOS PAC ID: 4587930672 Enrollment ID: O20171017002271 |
Entity Name | Nv Pacs 2 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20220802002024 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kathy Jo Justus, CFNP Po Box 2377, Lebanon, VA 24266-2377 Ph: (276) 889-3700 | Mrs Kathy Jo Justus, CFNP 495 East Main Street, Lebanon, VA 24266-1100 Ph: (276) 889-3700 |
Kimberly Michelle Miller, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 481 Majestic Valley Rd, Lebanon, VA 24266 Phone: 276-596-0608 | |
Mrs. Amanda Michele Mullins, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 142 Highland Dr, Lebanon, VA 24266 Phone: 276-889-0433 Fax: 276-889-5537 | |
Amanda Elizabeth Horner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 58 Carroll Street, Lebanon, VA 24266 Phone: 276-883-8000 | |
Mrs. Jacquelin London Greene, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 58 Carroll St, Lebanon, VA 24266 Phone: 276-883-8086 Fax: 276-883-8090 | |
Kelly E Harness, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 344 Overlook Dr Ste 200, Lebanon, VA 24266 Phone: 276-883-5900 | |
Nancy Sue Blevins, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Rogers Street, Lebanon, VA 24266 Phone: 276-889-7621 Fax: 276-889-7621 |