Eric Gorgon Shaw, MD - Medicare Emergency Medicine in Syracuse, NY

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Eric Gorgon Shaw, MD is a medicare enrolled "Emergency Medicine" physician in Syracuse, New York. His current practice location is 4900 Broad Rd, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 492-5535.

Eric Gorgon Shaw is licensed to practice in New York (license number 224829) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821058207.

Contact Information

Eric Gorgon Shaw, MD
4900 Broad Rd,
Syracuse, NY 13215-2265
(315) 492-5535
(315) 492-8690

Map and Direction




Physician's Profile

Full NameEric Gorgon Shaw
GenderMale
SpecialityEmergency Medicine
Location4900 Broad Rd, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821058207
  • Provider Enumeration Date: 03/28/2006
  • Last Update Date: 08/14/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5092796797
  • Enrollment ID: I20040527001274

Medical Identifiers

Medical identifiers for Eric Gorgon Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821058207NPI-NPPES
P00869153OtherNYRAILROAD MEDICARE
02650246MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 224829 (New York)Primary

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. Eric Gorgon Shaw allows following entities to bill medicare on his behalf.
Entity NameGeneva General Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487797080
PECOS PAC ID: 7810809407
Enrollment ID: O20031103000307
Entity NameSoldiers & Sailors Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043353618
PECOS PAC ID: 0446164255
Enrollment ID: O20031117000348
Entity NameUpstate Emergency Medicine, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275589582
PECOS PAC ID: 2466443494
Enrollment ID: O20040519001106
Entity NameEmergency Physician Services Of New York, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093759847
PECOS PAC ID: 8325939804
Enrollment ID: O20041001000684
Entity NameEmergency Care Services Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639236656
PECOS PAC ID: 3678678646
Enrollment ID: O20070419000474
Entity NameSt Josephs Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744
Entity NamePhysicians Medical Associates New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073386421
PECOS PAC ID: 7618310368
Enrollment ID: O20240209000066

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. Eric Gorgon Shaw 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
Eric Gorgon Shaw, MD
20830 Cagwin Rd,
Watertown, NY 13601-5364

Ph: (315) 583-5304		Eric Gorgon Shaw, MD
4900 Broad Rd,
Syracuse, NY 13215-2265

Ph: (315) 492-5535

Reviews and Comments


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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.