Samuel O Bada (NPI# 1770530586, PAC ID# 2466419783) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1770530586 |
| PAC ID by PECOS | 2466419783 |
| Professional Enrollment ID | I20041217000371 |
| Full Name | Samuel O Bada |
| Address |
1673 N Royal St Jackson TN 38301-3607 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| 441314 | LAUDERDALE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1673 N Royal St, Jackson, TN 38301-3607 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 83% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 83% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 5% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 5% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 0% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 0% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 58% | |
| MIPS_EC_047_overall | Care Plan | 58% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 1% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 1% |
| Street Address |
1673 N ROYAL ST |
| City | JACKSON |
| State | TN |
| Zip | 38301-3607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Lynn Scott | Family Practice | Lift Wellness Inc | 101 Jackson Walk Plaza, Jackson, TN 38301 |
| Abby L Mays | Registered Dietitian Or Nutrition Professional | Jackson Madison County General Hospital | 101 Jackson Walk Plz, Jackson, TN 38301-3008 |
| Jenna R Griffin | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Katie A Johnson | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Conrado B Sioson | Internal Medicine | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Somer L Lambert | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Claude Joseph Pirtle | Internal Medicine | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Betsy Akin | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Jaclyn A Bane | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Lindsay Barnett | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Find all physicians in zip 38301 | |||
| City | JACKSON |
| Zip Code | 38301 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JACKSON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Samuel O Bada.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.