Gino Shwkat Etta, MD - Medicare Emergency Medicine in Madison Heights, MI

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Gino Shwkat Etta, MD is a medicare enrolled "Emergency Medicine" physician in Madison Heights, Michigan. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Independent Emergency Physicians, P.c., Independent Observation Physicians Pllc and his current practice location is 27351 Dequindre Rd, Madison Heights, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 967-7661.

Gino Shwkat Etta is licensed to practice in Ohio (license number 35.141973) 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 1194216101.

Contact Information

Gino Shwkat Etta, MD
27351 Dequindre Rd,
Madison Heights, MI 48071-3487
(248) 967-7661
(248) 967-7876

Map and Direction




Physician's Profile

Full NameGino Shwkat Etta
GenderMale
SpecialityEmergency Medicine
Experience6 Years
Location27351 Dequindre Rd, Madison Heights, Michigan
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:
  • Gino Shwkat Etta graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1194216101
  • Provider Enumeration Date: 05/24/2018
  • Last Update Date: 11/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2961804455
  • Enrollment ID: I20210715000260

Medical Identifiers

Medical identifiers for Gino Shwkat Etta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194216101NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 4301501047 (Michigan)Secondary
207P00000XEmergency Medicine 35.141973 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Providence Hospital, Southfield And NoviSouthfield, MIHospital
Ascension Providence - Crittenton Hospital Medical CenterRochester, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Independent Emergency Physicians, P.c.670979832543
Independent Observation Physicians Pllc357760360474

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. Gino Shwkat Etta allows following entities to bill medicare on his behalf.
Entity NameIndependent Emergency Physicians, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780791343
PECOS PAC ID: 6709798325
Enrollment ID: O20031103000407
Entity NameEmergency Department Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225083595
PECOS PAC ID: 9436048998
Enrollment ID: O20040312000466
Entity NameIndependent Observation Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700119500
PECOS PAC ID: 3577603604
Enrollment ID: O20091221000327
Entity NameEmergency Physicians Of Northwest Ohio, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043274418
PECOS PAC ID: 3375456478
Enrollment ID: O20190904001095

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. Gino Shwkat Etta 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
Gino Shwkat Etta, MD
27351 Dequindre Rd,
Madison Heights, MI 48071-3487

Ph: (248) 967-7661		Gino Shwkat Etta, MD
27351 Dequindre Rd,
Madison Heights, MI 48071-3487

Ph: (248) 967-7661

Reviews and Comments


Emergency Medicine Doctors in Madison Heights, MI

Elizabeth Ann Marcuz, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071
Phone: 248-967-7000    
Kimberly F Heller, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071
Phone: 248-967-7661    
Arash Yekrangi-tajvidi, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071
Phone: 248-967-7795    Fax: 248-967-7794
Sergey Tsekhanov, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071
Phone: 248-967-7795    Fax: 248-967-7794
Matthew Boutorwick, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071
Phone: 248-967-7795    Fax: 248-967-7794
Jenna Wonsowicz, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071
Phone: 248-967-7661    Fax: 248-967-7876

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.