Dr Kristin Shallcross Gordon, DO - Medicare Family Practice in Manhasset, NY

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Dr Kristin Shallcross Gordon, DO is a medicare enrolled "Family Medicine" physician in Manhasset, New York. He graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Peconic Bay Primary Medical Care Pc and his current practice location is 600 Community Dr Ste 302, Manhasset, New York. You can reach out to his office (for appointments etc.) via phone at (516) 823-8808.

Dr Kristin Shallcross Gordon is licensed to practice in New York (license number 2782841) 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 1215242326.

Contact Information

Dr Kristin Shallcross Gordon, DO
600 Community Dr Ste 302,
Manhasset, NY 11030-3818
(516) 823-8808
Not Available

Map and Direction




Physician's Profile

Full NameDr Kristin Shallcross Gordon
GenderMale
SpecialityFamily Practice
Experience15 Years
Location600 Community Dr Ste 302, Manhasset, 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 Kristin Shallcross Gordon graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1215242326
  • Provider Enumeration Date: 08/12/2010
  • Last Update Date: 12/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0840588562
  • Enrollment ID: I20180503002241

Medical Identifiers

Medical identifiers for Dr Kristin Shallcross Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215242326NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2782841 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Peconic Bay Homehealth ServicesRiverhead, NYHome health agency
Tender Loving Care, An Amedisys CompanyMedford, NYHome health agency
Suny/stony Brook University HospitalStony brook, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peconic Bay Primary Medical Care Pc711381760271

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 Kristin Shallcross Gordon allows following entities to bill medicare on his behalf.
Entity NamePeconic Bay Primary Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487620613
PECOS PAC ID: 7113817602
Enrollment ID: O20040318000260
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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 Kristin Shallcross Gordon 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 Kristin Shallcross Gordon, DO
Po Box 3055,
Sag Harbor, NY 11963-0403

Ph: (631) 377-1036		Dr Kristin Shallcross Gordon, DO
600 Community Dr Ste 302,
Manhasset, NY 11030-3818

Ph: (516) 823-8808

Reviews and Comments


Family Medicine Doctors in Manhasset, NY

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Diana Elena Dalmasi, FNP-BC
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Thara Foreste, MD
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Dr. Usman Khan, M.D
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Practice Location: 300 Community Dr, Manhasset, NY 11030
Phone: 516-562-2945    Fax: 516-562-0368

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.