| Samantha Jackson, APRN | |
|
7972 N Oberon Ter, Citrus Springs, FL 34434-6664 | |
| (352) 857-7418 | |
| Not Available |
| Full Name | Samantha Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 7972 N Oberon Ter, Citrus Springs, Florida |
| 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 |
|---|---|---|---|
| 1366170102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11021020 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Villages Regional Hospital, The | The villages, FL | Hospital |
| Citrus Memorial Hospital | Inverness, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Project Health Inc | 0446153399 | 26 |
| Recover Together Inc | 7810247533 | 116 |
| Mohammed A Hossain Md, Llc | 9436490570 | 3 |
| Entity Name | Project Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437180239 PECOS PAC ID: 0446153399 Enrollment ID: O20040601001397 |
| Entity Name | Mohammed A Hossain Md, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952872483 PECOS PAC ID: 9436490570 Enrollment ID: O20190418000029 |
| Entity Name | Recover Together Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346736758 PECOS PAC ID: 7810247533 Enrollment ID: O20210202000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Jackson, APRN 7972 N Oberon Ter, Citrus Springs, FL 34434-6664 Ph: (352) 857-7418 | Samantha Jackson, APRN 7972 N Oberon Ter, Citrus Springs, FL 34434-6664 Ph: (352) 857-7418 |
Mrs. Sheila Malto Villacastin, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10489 N Florida Ave, Citrus Springs, FL 34434 Phone: 352-489-2486 Fax: 352-489-5786 | |
Mr. Alexander Tan Villacastin, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10489 N Florida Ave, Citrus Springs, FL 34434 Phone: 352-489-2486 Fax: 352-489-5786 | |
Maria Juvy Villacastin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9531 N Citrus Springs Blvd, Citrus Springs, FL 34434 Phone: 352-489-2486 | |
Cathleen M. Kelley-weidemann, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10334 N Citrus Springs Blvd, Citrus Springs, FL 34434 Phone: 352-527-0707 Fax: 352-489-7512 | |
Mrs. Angela Elaine Mcgonigal, ARNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10489 N Florida Ave, Citrus Springs, FL 34434 Phone: 352-341-5520 |