Samantha Jack, PA-C | |
725 University Blvd, Beavercreek, OH 45324-2640 | |
(937) 245-7150 | |
Not Available |
Full Name | Samantha Jack |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 9 Years |
Location | 725 University Blvd, Beavercreek, Ohio |
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 |
---|---|---|---|
1316314925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AS0400X | Physician Assistant - Surgical | (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Miami Valley Hospital | Dayton, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wright State Physicians Inc | 7618889320 | 117 |
Mailing Address | Practice Location Address |
---|---|
Samantha Jack, PA-C 725 University Blvd, Beavercreek, OH 45324-2640 Ph: (937) 245-7150 | Samantha Jack, PA-C 725 University Blvd, Beavercreek, OH 45324-2640 Ph: (937) 245-7150 |
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