| 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 | 10 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wright State Physicians Inc | 7618889320 | 58 |
| 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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