Samuel Jean


Address: 931 Wekiva Springs Rd, Longwood, FL 32779-2501

Samuel Jean (NPI# 1730276783, PAC ID# 4880788272) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1730276783
PAC ID by PECOS 4880788272
Professional Enrollment ID I20070917000012
Full Name Samuel Jean
Address 931 Wekiva Springs Rd
Longwood
FL 32779-2501
Gender M
Medical School UNIVERSITY OF KANSAS SCHOOL OF MEDICINE
Graduation Year 2003
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100007 FLORIDA HOSPITAL

Other Locations

Address Phone Organization
931 Wekiva Springs Rd, Longwood, FL 32779-2501

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 931 WEKIVA SPRINGS RD
City LONGWOOD
State FL
Zip 32779-2501

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Competitor

Search similar physicians

City LONGWOOD
Zip Code 32779
Specialty INTERNAL MEDICINE
City + Specialty LONGWOOD + INTERNAL MEDICINE

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Dataset Information

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.

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