Dr Samantha Jo Herriott, DO - Medicare Obstetrics/gynecology in Bristol, TN

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Dr Samantha Jo Herriott, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Bristol, Tennessee. She went to Michigan State University College Of Osteopathic Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Ivinson Memorial Hospital and her current practice location is 320 Bristol West Blvd, Ste 2c, Bristol, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 844-1399.

Dr Samantha Jo Herriott is licensed to practice in Tennessee (license number DO2730) 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 1477845444.

Contact Information

Dr Samantha Jo Herriott, DO
320 Bristol West Blvd, Ste 2c,
Bristol, TN 37620-8772
(423) 844-1399
(423) 877-1397

Map and Direction




Physician's Profile

Full NameDr Samantha Jo Herriott
GenderFemale
SpecialityObstetrics/gynecology
Experience13 Years
Location320 Bristol West Blvd, Bristol, Tennessee
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 Jo Herriott attended and graduated from Michigan State University College Of Osteopathic Medicine in 2011
  NPI Data:
  • NPI Number: 1477845444
  • Provider Enumeration Date: 05/10/2011
  • Last Update Date: 06/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3779803739
  • Enrollment ID: I20190619001445

Medical Identifiers

Medical identifiers for Dr Samantha Jo Herriott such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477845444NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 5101019227 (Michigan)Secondary
207V00000XObstetrics & Gynecology DO2730 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ivinson Memorial HospitalLaramie, WYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ivinson Memorial Hospital832530444749

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Samantha Jo Herriott allows following entities to bill medicare on her behalf.
Entity NameIvinson Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033628599
PECOS PAC ID: 8325304447
Enrollment ID: O20171213002021

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 Jo Herriott 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 Jo Herriott, DO
Po Box 9,
Kingsport, TN 37662-0009

Ph: (423) 857-2066		Dr Samantha Jo Herriott, DO
320 Bristol West Blvd, Ste 2c,
Bristol, TN 37620-8772

Ph: (423) 844-1399

Reviews and Comments


Obstetrics & Gynecology Doctors in Bristol, TN

David W. Marden, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Park Blvd Ste 305e, Bristol, TN 37620
Phone: 423-844-5640    Fax: 423-844-5645
Dr. Gary C Boyle, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 2901 W State St, Bristol, TN 37620
Phone: 423-968-2182    Fax: 423-968-7589
Dr. Jeffrey Mcqueary, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 240 Medical Park Blvd Ste 2700, Bristol, TN 37620
Phone: 423-990-2450    
Dr. Wesley F Adams Jr., M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2901 W State St, Bristol, TN 37620
Phone: 423-968-2182    Fax: 423-968-7589
Alan L. Gorrell, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 249 Midway Medical Park, Suite 202, Bristol, TN 37620
Phone: 423-844-6220    
Dr. Dennis Samuel Jr., MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 350 Steeles Rd, Bristol, TN 37620
Phone: 423-844-4925    Fax: 423-844-4933

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.