Samantha L Jackson (NPI# 1104806967, PAC ID# 7012002744) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104806967 |
| PAC ID by PECOS | 7012002744 |
| Professional Enrollment ID | I20070926000847 |
| Full Name | Samantha L Jackson |
| Address |
429 W Elm St Elk View General Hospital Hobart OK 73651-1615 |
| Gender | F |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370153 | ELKVIEW GENERAL HOSPTIAL |
| 371325 | CORDELL MEMORIAL HOSPITAL |
| 370022 | JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY |
| 371330 | MANGUM REGIONAL MEDICAL CENTER |
| 371334 | CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 415 W Forest Ln, Hobart, OK 73651-1645 | ||
| 429 W Elm, Hobart, OK 73651-1615 | 5807261900 | KIOWA COUNTY HOSPITAL AUTHORITY |
| 429 W Elm St, Elk View General Hospital, Hobart, OK 73651-1615 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 34% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 34% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 65% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 65% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 30% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 30% | |
| MIPS_EC_412_overall | Documentation of Signed Opioid Treatment Agreement | 94% | |
| MIPS_EC_412_overall | Documentation of Signed Opioid Treatment Agreement | 94% |
| Street Address |
429 W ELM ST ELK VIEW GENERAL HOSPITAL |
| City | HOBART |
| State | OK |
| Zip | 73651-1615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William L Sims | General Surgery | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
| Jeffrey D Phillips | Physician Assistant | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
| Ross D Riddle | Family Medicine | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
| Mark A Evans | Physician Assistant | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
| Julie A Schaufele | Family Medicine | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
| Amy F Sims | Nurse Practitioner | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
| Richard E Hanson Jr. | Physician Assistant | Kiowa County Hospital Authority | 429 W Elm, Hobart, OK 73651-1615 |
| Michael D Krieger | General Practice | 401 W Forest Ln, Hobart, OK 73651-1645 | |
| Tyson Neal Allard | Optometry | 212 S Main St, Hobart, OK 73651-3628 | |
| Paul Douglas Reed | Chiropractic | 116 W 4th St, Hobart, OK 73651-4010 | |
| Find all physicians in zip 73651 | |||
| City | HOBART |
| Zip Code | 73651 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HOBART + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Samantha L Jackson.
| 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.