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IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Dr. Kenneth Jake Sample

MD

Internal Medicine

NPI: 1699358960Gravette, Arkansas, 72736(479) 787-5221Male
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About Dr. Kenneth Jake Sample

Dr. Kenneth Jake Sample, MD, is a male healthcare professional specializing in Internal Medicine, registered under National Provider Identifier (NPI) number 1699358960. Dr. Kenneth Jake Sample received his medical education at OTHER, graduating in 2021.

Their primary practice is located at 1101 JACKSON ST SW, Gravette, Arkansas 72736. Patients can reach the office at (479) 787-5221. In addition to the primary location, Dr. Kenneth Jake Sample maintains 2 additional practice locations.

Dr. Kenneth Jake Sample is affiliated with 2 hospitals in the area. Dr. Kenneth Jake Sample is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.

As a prescriber, Dr. Kenneth Jake Sample has 258 prescription claims processed, totaling $105,360 in drug costs. Dr. Kenneth Jake Sample has been NPI-registered since 2021.

Key Metrics

Rx Claims

258

$105,360.10

Practice Locations

3

Affiliated Hospitals

2

Doctor Details

Identity & Credentials

NPI Number
1699358960
Entity Type
Individual
First Name
Kenneth
Last Name
Sample
Credential
MD
Gender
Male
Medical School
OTHER
Graduation Year
2021
Sole Proprietor
No
Status
active

Primary Practice Location

Address
1101 JACKSON ST SW
City
Gravette
State
Arkansas
ZIP
72736-9121
Country
United States
Phone
(479) 787-5221
Fax
(479) 787-5613

Specialty & Taxonomy

Primary Specialty
Internal Medicine
Classification
Internal Medicine
Taxonomy Code
207R00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
1101 JACKSON ST SW
City
GRAVETTE
State
AR
ZIP
727369121

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes
Total Rx Claims
258
Total Rx Cost
$105,360.10

Frequently Asked Questions

What is Dr. Kenneth Jake Sample's NPI number?
Dr. Kenneth Jake Sample's National Provider Identifier (NPI) is 1699358960. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Dr. Kenneth Jake Sample specialize in?
Dr. Kenneth Jake Sample specializes in Internal Medicine. They received their medical education at OTHER (class of 2021).
Where is Dr. Kenneth Jake Sample located?
Dr. Kenneth Jake Sample practices at 1101 JACKSON ST SW, Gravette, Arkansas 72736. You can reach them by phone at (479) 787-5221. They also have 2 additional practice locations.
Does Dr. Kenneth Jake Sample accept Medicare?
Yes, Dr. Kenneth Jake Sample is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Dr. Kenneth Jake Sample offer telehealth or virtual visits?
Dr. Kenneth Jake Sample does not currently offer telehealth services. In-person visits are required at their practice location.
Can Dr. Kenneth Jake Sample prescribe medications?
Yes, Dr. Kenneth Jake Sample is an authorized prescriber. They have processed 258 prescription claims totaling $105,360.10.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Kenneth Jake Sample is 1699358960.