Dr Samantha Grace Hathaway, DO - Medicare Family Practice in Johnson City, NY

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Dr Samantha Grace Hathaway, DO is a medicare enrolled "Family Medicine" physician in Johnson City, New York. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Our Lady Of Lourdes Memorial Hospital Inc and her current practice location is 515 Reynolds Rd, Johnson City, New York. You can reach out to her office (for appointments etc.) via phone at (607) 798-5510.

Dr Samantha Grace Hathaway is licensed to practice in New York (license number 338813) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164166708.

Contact Information

Dr Samantha Grace Hathaway, DO
515 Reynolds Rd,
Johnson City, NY 13790-1311
(607) 798-5510
Not Available

Map and Direction




Physician's Profile

Full NameDr Samantha Grace Hathaway
GenderFemale
SpecialityFamily Practice
Experience4 Years
Location515 Reynolds Rd, Johnson City, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Samantha Grace Hathaway graduated from medical school in 2022
  NPI Data:
  • NPI Number: 1164166708
  • Provider Enumeration Date: 04/20/2022
  • Last Update Date: 07/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6901307677
  • Enrollment ID: I20250903001339

Medical Identifiers

Medical identifiers for Dr Samantha Grace Hathaway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164166708NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 338813 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Twin Tier Home Health, IncJohnson city, NYHome health agency
Lourdes HospitalBinghamton, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Our Lady Of Lourdes Memorial Hospital Inc1254237779255

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samantha Grace Hathaway is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Samantha Grace Hathaway, DO
104 Springer Rd,
Binghamton, NY 13904-3404

Ph: (845) 820-1864		Dr Samantha Grace Hathaway, DO
515 Reynolds Rd,
Johnson City, NY 13790-1311

Ph: (607) 798-5510

Reviews and Comments


Family Medicine Doctors in Johnson City, NY

Christian Edwards, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 507 Main St, Johnson City, NY 13790
Phone: 607-763-6075    
Roshni Patel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 507 Main St, Johnson City, NY 13790
Phone: 607-763-6075    
Daniel M Young, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 507 Main St, Johnson City, NY 13790
Phone: 607-763-6075    Fax: 607-763-5234
Dr. Jacqueline E J Bhandari, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 507 Main St, Johnson City, NY 13790
Phone: 607-763-6075    Fax: 607-763-5234
Katherine Holmes, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 40 Arch St, Johnson City, NY 13790
Phone: 607-763-6075    Fax: 607-763-5234
Christopher W Ryan, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 40 Arch St, Johnson City, NY 13790
Phone: 607-763-6075    Fax: 607-763-5234

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.