| 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 | 11 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 |
|---|---|---|
| Premier Health Specialists Inc | 5597708594 | 576 |
| Entity Name | Premier Health Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
| 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 |
Amanda Yun Anania, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 330, Beavercreek, OH 45431 Phone: 937-757-9449 Fax: 937-702-4944 |
Emily Grace Trompak (o'neal), PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd, Beavercreek, OH 45431 Phone: 937-702-4450 Fax: 937-702-4459 |
Sarah Gould, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2510 Commons Blvd Ste 210, Beavercreek, OH 45431 Phone: 937-429-0607 Fax: 937-429-0608 |
Caitlin Riley Flynn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3572 Dayton Xenia Rd Ste 105, Beavercreek, OH 45432 Phone: 937-427-4600 |
Breanne Henderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 42 Woodcroft Trl, Beavercreek, OH 45430 Phone: 937-429-0682 |
Kelly Bultman, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2510 Commons Blvd Ste 210, Beavercreek, OH 45431 Phone: 513-833-4912 |
Michelle A Ortman, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 Sylvania Dr, Beavercreek, OH 45440 Phone: 937-320-5050 Fax: 937-320-5060 |