Gavin Setzen, MD - Medicare Otolaryngology in Albany, NY

Gavin Setzen, MD is a medicare enrolled "Otolaryngology" physician in Albany, New York. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Albany Ent And Allergy Services Pc and his current practice location is 123 Everett Rd, Albany, New York. You can reach out to his office (for appointments etc.) via phone at (518) 701-2000.

Gavin Setzen is licensed to practice in New York (license number 191506) 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 1063419232.

Contact Information

Gavin Setzen, MD
123 Everett Rd,
Albany, NY 12205-1407
(518) 701-2000
(518) 701-2020



Physician's Profile

Full NameGavin Setzen
GenderMale
SpecialityOtolaryngology
Experience37 Years
Location123 Everett Rd, Albany, 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:
  • Gavin Setzen graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1063419232
  • Provider Enumeration Date: 07/03/2005
  • Last Update Date: 10/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8921086083
  • Enrollment ID: I20040824001485

Medical Identifiers

Medical identifiers for Gavin Setzen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063419232NPI-NPPES
P00151895OtherNYRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YS0123XOtolaryngology - Facial Plastic Surgery 1915061 (New York)Secondary
207Y00000XOtolaryngology 191506 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Peter's HospitalAlbany, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Albany Ent And Allergy Services Pc367855173637

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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. Gavin Setzen allows following entities to bill medicare on his behalf.
Entity NameAlbany Ent & Allergy Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205838729
PECOS PAC ID: 3678551736
Enrollment ID: O20040713001489

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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. Gavin Setzen 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
Gavin Setzen, MD
123 Everett Rd,
Albany, NY 12205-1407

Ph: (518) 701-2000
Gavin Setzen, MD
123 Everett Rd,
Albany, NY 12205-1407

Ph: (518) 701-2000

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Gaps in the security and privacy of healthcare data still exist, even though the Health Insurance Portability & Accountability Act's (HIPAA) rules for security and privacy safeguards were extended by the Health Information Technology for Economic and Clinical Health (HITECH) Act.

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Otolaryngology Doctors in Albany, NY

John P. Gavin, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 50 New Scotland Ave Fl 2, Albany, NY 12208
Phone: 518-262-6240    Fax: 518-262-4223
Lawrence S Kaufman, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 123 Everett Rd, Albany, NY 12205
Phone: 518-701-2000    Fax: 518-701-2020
Allison Dawn Lupinetti, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 35 Hackett Blvd, Albany, NY 12208
Phone: 518-262-5575    Fax: 518-262-5184
Dr. Jason Mouzakes, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 35 Hackett Blvd, Albany, NY 12208
Phone: 518-262-5575    Fax: 518-262-5184
Dr. Stanley Shapshay, M.D
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 35 Hackett Blvd, Albany, NY 12208
Phone: 518-262-5575    Fax: 518-262-5184
Dr. Steven Silver, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 35 Hackett Blvd, Albany, NY 12208
Phone: 518-262-5575    Fax: 518-262-5184

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