SAMANTHA JACK PA-C
NPI 1316314925
Physician Assistant - Surgical in Beavercreek, OH
About Samantha Jack Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA JACK PA-C (NPI 1316314925) is an individual surgical provider in Beavercreek, Ohio and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Jack Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Miami Valley Hospital
Acute Care Hospitals · Dayton, OHMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BEAVERCREEK, OH 45324
FAIRBORN, OH 45324
BEAVERCREEK, OH 45324
BEAVERCREEK, OH 45324
BEAVERCREEK, OH 45324
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samantha Jack's NPI number?
The NPI number for Samantha Jack is 1316314925. It was assigned to this individual provider in the NPPES registry on August 31, 2015.
Where is Samantha Jack located?
Samantha Jack practices at 725 University Blvd, Beavercreek, OH 45324. The listed phone number is (937) 245-7150.
What is Samantha Jack's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Samantha Jack enrolled in Medicare?
Yes. Samantha Jack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Samantha Jack accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Samantha Jack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Samantha Jack affiliated with any hospitals?
According to CMS data, Samantha Jack is affiliated with Miami Valley Hospital.
When was this NPI record last updated?
The NPPES record for Samantha Jack was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
