Mrs Samara Ja'nel Jack, PA-C in Tulsa, OK - Medicare Physician Assistant

Mrs Samara Ja'nel Jack, PA-C is a medicare enrolled "Physician Assistant" in Tulsa, Oklahoma. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St John Physicians Inc, Tulsa Hospital Medicine Physicians Group, Llc and her current practice location is 7858 S Olympia Ave, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 986-9200.

Mrs Samara Ja'nel Jack is licensed to practice in Oklahoma (license number 1919) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245550433.

Contact Information

	Mrs Samara Ja'nel Jack, PA-C
	7858 S Olympia Ave, Tulsa, OK 74132-1857
	(918) 986-9200
	(918) 986-9205

Map and Direction

Provider's Profile

Full Name	Mrs Samara Ja'nel Jack
Gender	Female
Speciality	Physician Assistant
Experience	15 Years
Location	7858 S Olympia Ave, Tulsa, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Samara Ja'nel Jack graduated from nursing school in 2009

NPI Data:

NPI Number: 1245550433
Provider Enumeration Date: 06/10/2010
Last Update Date: 02/28/2019

Medicare PECOS Information:

PECOS PAC ID: 6103015086
Enrollment ID: I20110107000198

Medical Identifiers

Medical identifiers for Mrs Samara Ja'nel Jack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245550433	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1919 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St John Physicians Inc	2567366495	223
Tulsa Hospital Medicine Physicians Group, Llc	7214327832	116

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. Mrs Samara Ja'nel Jack 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 Address	Practice Location Address
Mrs Samara Ja'nel Jack, PA-C 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 Ph: (918) 748-7585	Mrs Samara Ja'nel Jack, PA-C 7858 S Olympia Ave, Tulsa, OK 74132-1857 Ph: (918) 986-9200

Reviews and Comments

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Mrs Samara Ja'nel Jack, PA-C - Medicare Physician Assistant in Tulsa, OK