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Last Update: Thursday, April 18, 2024 4:01 PM CDT
Next Update: Friday, April 19, 2024 2:50 AM CDT
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|
JACKSON, SAMANTHA LEWELLEN |
| Practice Address: |
415 W FOREST LANE
HOBART OK 73651-0826
Address last updated on 5/3/2022 |
| Phone #: |
(580) 726-2226 |
| Fax #: |
(580) 726-8425 |
| County: |
KIOWA |
| License: |
19876 |
| Dated: |
7/18/1996 |
| Expires: |
7/1/2024 |
|
Temp.
Lic.
Issued:
|
7/6/1995 |
|
Temp.
Lic.
Expires:
|
8/1/1996 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
5 /
1995 |
| CME Year: |
2024 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
HealthChoice
PacifiCare of Oklahoma, Inc
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner |
| Hospital Privileges: |
Elkview General Hospital
Hobart, OK
|
|
| Locations: |
Hours: |
Languages: |
415 W FOREST LANE
HOBART OK 73651-0826
Phone #:
(580) 726-2226
Fax #:
(580) 726-8425 |
Mon: 8:00AM - 4:30PM
Tue: 8:00AM - 4:30PM
Wed: 8:00AM - 4:30PM
Thu: 8:00AM - 4:30PM
Fri: 8:00AM - 12:00PM
Sat:
Sun: |
Spanish |
|
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