| Justina Marie Ellis, MD | |
|
515 Hospital Dr Ste 1, Shelbyville, KY 40065-1619 | |
| (502) 633-3525 | |
| Not Available |
| Full Name | Justina Marie Ellis |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 515 Hospital Dr Ste 1, Shelbyville, Kentucky |
| 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 |
|---|---|---|---|
| 1346602984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 52870 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | 52870 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caretenders | Louisville, KY | Home health agency |
| Jewish Hospital - Shelbyville | Shelbyville, KY | Hospital |
| Harrison County Hospital | Corydon, IN | Hospital |
| Jewish Hospital & St Mary's Healthcare | Louisville, KY | Hospital |
| University Of Louisville Hospital | Louisville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Emergency Physicians Llc | 2466364997 | 627 |
| University Of Louisville Physicians Inc | 3476725599 | 1264 |
| Pt Pros, Inc | 0143139337 | 218 |
| Clarksville Emergency Group Pc | 6507277423 | 132 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | University Of Louisville Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
| Entity Name | Concord Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20180503002233 |
| Entity Name | Concord Company Of Tennessee Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649743667 PECOS PAC ID: 0345588109 Enrollment ID: O20190221000097 |
| Entity Name | Western Healthcare Services Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770243842 PECOS PAC ID: 0941695936 Enrollment ID: O20220309001033 |
| Mailing Address | Practice Location Address |
|---|---|
| Justina Marie Ellis, MD Po Box 909, Louisville, KY 40201-0909 Ph: (502) 588-0330 | Justina Marie Ellis, MD 515 Hospital Dr Ste 1, Shelbyville, KY 40065-1619 Ph: (502) 633-3525 |
Dr. Ron E Creque Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Stonecrest Road, Suite 3, Shelbyville, KY 40065 Phone: 502-633-5565 Fax: 502-633-5154 | |
Dr. Ronald E Waldridge Sr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 60 Mack Walters Rd, Shelbyville, KY 40065 Phone: 502-633-4622 Fax: 502-633-6925 | |
David W Wallace, MD MBA Family Medicine Medicare: Medicare Enrolled Practice Location: 515 Hospital Dr, Suite 1, Shelbyville, KY 40065 Phone: 502-633-3525 Fax: 502-633-8075 | |
Leticia Kathryn Allen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 60 Mack Walters Rd, Shelbyville, KY 40065 Phone: 502-633-4622 Fax: 502-633-6925 | |
Dr. William J Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 148 Midland Blvd, Shelbyville, KY 40065 Phone: 502-647-1958 Fax: 502-647-1940 | |
James R Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 515 Hospital Dr, Ste 1, Shelbyville, KY 40065 Phone: 502-633-3525 Fax: 502-633-8075 | |
Dr. Jena Thomas Ruxer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4000 |