| Marissa Just, MD | |
|
705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | |
| (317) 944-2143 | |
| (317) 944-3107 |
| Full Name | Marissa Just |
|---|---|
| Gender | Female |
| Speciality | Hematology/oncology |
| Experience | 12 Years |
| Location | 705 Riley Hospital Dr, Indianapolis, 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 |
|---|---|---|---|
| 1912325028 | NPI | - | NPPES |
| 300052899 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2017-00863 (North Carolina) | Secondary |
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 01086329A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Riley Specialists Llc | 9638669815 | 285 |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Entity Name | University Pediatric Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457396541 PECOS PAC ID: 2163326794 Enrollment ID: O20031125000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Just, MD Po Box 719094, Chicago, IL 60677-9318 Ph: (317) 777-6435 | Marissa Just, MD 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 Ph: (317) 944-2143 |
Mohannad Moallem, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-274-4779 Fax: 317-948-9806 |
Tracey Wilkinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr Ste 1300, Indianapolis, IN 46202 Phone: 317-962-8067 |
Joshua Wayne Gollub, Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-274-4779 Fax: 317-948-9806 |
Katherine Carlsen Anderson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd # Ag012, Indianapolis, IN 46202 Phone: 317-962-3525 |
Ivana Radovanovic, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 5550 S East St Ste C, Indianapolis, IN 46227 Phone: 317-534-4660 Fax: 317-782-4301 |
Samuel J Flanders, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 N Shadeland Ave, Ste 200, Indianapolis, IN 46219 Phone: 317-962-4836 Fax: 317-962-8646 |
Mark H Hoyer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-678-3900 |