Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samantha Tavarez, PA-C

Individual provider Physician Assistant · NPI 1003702630

Samantha Tavarez, PA-C is a Physician Assistant in New Hartford, New York. Qualified in 2025, 1 year ago. Practices with Slocum Dickson Medical Group PLLC, a 93-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

20 Kellogg Rd
New Hartford, NY 13413-2825
Phone: (315) 765-0903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 034272 (NY)

Record details

NPI number1003702630
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 18, 2025
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Slocum Dickson Medical Group Pllc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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