| 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 |
| Experience | 21 Years |
| Location | 495 East Main Street, Lebanon, Virginia |
| 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 |
|---|---|---|---|
| 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Highlands Community Services | 8123014966 | 27 |
| 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 |
| 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 | |
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: Not Enrolled in Medicare 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 | |
Kelly Mcdaniel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 288 Rolling Meadows Rd, Lebanon, VA 24266 Phone: 276-608-4114 |