Dr Kenneth S Etra, MD - Medicare Otolaryngology in Great Neck, NY

Dr Kenneth S Etra, MD is a medicare enrolled "Otolaryngology" physician in Great Neck, New York. He went to Tufts University School Of Medicine and graduated in 1975 and has 49 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice New York Allergy Asthma And Immunology Pc and his current practice location is 560 Northern Blvd, Great Neck, New York. You can reach out to his office (for appointments etc.) via phone at (516) 487-6200.

Dr Kenneth S Etra is licensed to practice in New York (license number 127393) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225012313.

Contact Information

Dr Kenneth S Etra, MD
560 Northern Blvd,
Great Neck, NY 11021-5100
(516) 487-6200
(516) 487-6329

Map and Direction




Physician's Profile

Full NameDr Kenneth S Etra
GenderMale
SpecialityOtolaryngology
Experience49 Years
Location560 Northern Blvd, Great Neck, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kenneth S Etra attended and graduated from Tufts University School Of Medicine in 1975
  NPI Data:
  • NPI Number: 1225012313
  • Provider Enumeration Date: 12/01/2005
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3274593280
  • Enrollment ID: I20041014000249

Medical Identifiers

Medical identifiers for Dr Kenneth S Etra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225012313NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 127393 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Shore University HospitalManhasset, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New York Allergy Asthma And Immunology Pc65071277505

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 Kenneth S Etra allows following entities to bill medicare on his behalf.
Entity NameProhealth Care Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468
Entity NameNew York Allergy Asthma & Immunology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700312774
PECOS PAC ID: 6507127750
Enrollment ID: O20180302001504

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 Kenneth S Etra 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 Kenneth S Etra, MD
560 Northern Blvd,
Great Neck, NY 11021-5100

Ph: (516) 487-6200
Dr Kenneth S Etra, MD
560 Northern Blvd,
Great Neck, NY 11021-5100

Ph: (516) 487-6200

Reviews and Comments


Otolaryngology Doctors in Great Neck, NY

Dr. Josh Werber, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 833 Northern Blvd, Ste 260, Great Neck, NY 11021
Phone: 516-829-3466    Fax: 516-829-4201
Dr. Lawrence B Mollick, M.D.
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 560 Northern Blvd, Great Neck, NY 11021
Phone: 516-487-6200    Fax: 516-487-6329
Monica Walia,
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 600 Northern Blvd, Great Neck, NY 11021
Phone: 516-482-3223    
Dr. Jerrold Conrad Gendler, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 560 Norhern Blvd, 190, Great Neck, NY 11021
Phone: 646-705-4505    
Dr. Andrew Angelo Jacono, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 440-450 Northern Blvd, Great Neck, NY 11021
Phone: 516-773-4646    Fax: 516-773-1360
Dr. Karen Ann Haunss-sapinski, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 833 Northern Blvd, Suite 260, Great Neck, NY 11021
Phone: 516-829-3466    Fax: 516-829-4201

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.