Samuel T Jersak, MD - Medicare Hospitalist in Columbus, OH

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Samuel T Jersak, MD is a medicare enrolled "Hospitalist" physician in Columbus, Ohio. He went to University Of Missouri, Columbia School Of Medicine and graduated in 2015 and has 11 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Saint Lukes Physician Group Inc, Saint Lukes Physician Group Inc and his current practice location is 410 W 10th Ave, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 293-7499.

Samuel T Jersak is licensed to practice in Ohio (license number 35.132780) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497141014.

Contact Information

Samuel T Jersak, MD
410 W 10th Ave,
Columbus, OH 43210
(614) 293-7499
(614) 366-2360

Map and Direction




Physician's Profile

Full NameSamuel T Jersak
GenderMale
SpecialityHospitalist
Experience11 Years
Location410 W 10th Ave, Columbus, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel T Jersak attended and graduated from University Of Missouri, Columbia School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1497141014
  • Provider Enumeration Date: 04/09/2015
  • Last Update Date: 06/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0648589176
  • Enrollment ID: I20210819001190

Medical Identifiers

Medical identifiers for Samuel T Jersak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497141014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 35.132780 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Lukes Hospital Of Kansas CityKansas city, MOHospital
Saint Luke's South HospitalOverland park, KSHospital
Golden Valley Memorial HospitalClinton, MOHospital
Hedrick Medical CenterChillicothe, MOHospital
Wright Memorial HospitalTrenton, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Lukes Physician Group Inc35774768941233
Saint Lukes Physician Group Inc35774768941233

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samuel T Jersak allows following entities to bill medicare on his behalf.
Entity NameSaint Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093263717
PECOS PAC ID: 3577476894
Enrollment ID: O20050302000266

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel T Jersak is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel T Jersak, MD
901 E 104th St,
Kansas City, MO 64131-4517

Ph: (816) 502-8752		Samuel T Jersak, MD
410 W 10th Ave,
Columbus, OH 43210

Ph: (614) 293-7499

Reviews and Comments


Hospitalist Doctors in Columbus, OH

Kevin M. Adams, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 410 W 10th Ave, Columbus, OH 43210
Phone: 614-293-7499    Fax: 614-366-2360
Saroj Sapkota, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 520 W 10th Ave, Columbus, OH 43210
Phone: 614-293-7499    Fax: 614-366-2360
Max Hugo Saenz, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 111 S Grant Ave, Columbus, OH 43215
Phone: 614-566-8883    
Charles F Hawk,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 395 W 12th Ave Fl 3, Columbus, OH 43210
Phone: 614-293-3989    Fax: 614-293-9789
Patrick J Barr, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3525 Olentangy River Rd, Suite 4330, Columbus, OH 43214
Phone: 614-255-6946    
Dr. Mark Alexander Jarosz, DO
Hospitalist
Medicare: Not Enrolled in Medicare
Practice Location: 111 S Grant Ave, Columbus, OH 43215
Phone: 614-566-8883    Fax: 614-566-8149
Dr. Irani Samaranayake, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3525 Olentangy River Rd, Suite 4330, Columbus, OH 43214
Phone: 614-255-6900    Fax: 614-255-6901

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.