Samantha Jack, PA-C
Samantha Jack, PA-C is a Physician Assistant in Beavercreek, Ohio. Qualified in 2015, 11 years ago. Practices with Premier Health Specialists Inc, a 575-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 11
- Licensed in
- OH
- In the registry since
- 2015
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
725 University BlvdBeavercreek, OH 45324-2640
Phone: (937) 245-7150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X (OH) |
|---|
Record details
| NPI number | 1316314925 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 31, 2015 |
| Last updated in NPPES | March 20, 2018 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Premier Health Specialists Inc — 575 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Beavercreek
-
Jill O'Connor, PA-C
2587 Commons Blvd Ste 110, Beavercreek, OH 45431-3841 · (937) 424-5825