Dmitriy Sergeevick Tckachenko, MD - Medicare Anesthesiology in Indianapolis, IN

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Dmitriy Sergeevick Tckachenko, MD is a medicare enrolled "Anesthesiology" physician in Indianapolis, Indiana. He graduated from medical school in 1997 and has 28 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Valley Regional Anesthesia Associates Inc, Valley Anesthesiology Consultants Inc, Mercy Medical Center, Regents Of The Univ Of Ca and his current practice location is 1701 N Senate Blvd, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 577-4200.

Dmitriy Sergeevick Tckachenko is licensed to practice in Indiana (license number 01089003A) 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 1285645531.

Contact Information

Dmitriy Sergeevick Tckachenko, MD
1701 N Senate Blvd,
Indianapolis, IN 46202-1239
(317) 577-4200
(317) 577-9503

Map and Direction




Physician's Profile

Full NameDmitriy Sergeevick Tckachenko
GenderMale
SpecialityAnesthesiology
Experience28 Years
Location1701 N Senate Blvd, Indianapolis, Indiana
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:
  • Dmitriy Sergeevick Tckachenko graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1285645531
  • Provider Enumeration Date: 08/11/2006
  • Last Update Date: 11/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9537165402
  • Enrollment ID: I20061017000249

Medical Identifiers

Medical identifiers for Dmitriy Sergeevick Tckachenko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285645531NPI-NPPES
117490MedicaidAZ
1285645531OtherINANTHEM PTAN
300071919MedicaidIN
P00353901OtherMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 35378 (Arizona)Secondary
207L00000XAnesthesiology 01089003A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Honorhealth Scottsdale Shea Medical CenterScottsdale, AZHospital
Scottsdale Osborn Medical CenterScottsdale, AZHospital
St. Joseph's Hospital And Medical CenterPhoenix, AZHospital
Mercy Medical Center - Cedar RapidsCedar rapids, IAHospital
University Of California Davis Medical CenterSacramento, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Valley Regional Anesthesia Associates Inc3870964323152
Valley Anesthesiology Consultants Inc4880591841271
Mercy Medical Center4183535271303
Regents Of The Univ Of Ca33754566191468

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. Dmitriy Sergeevick Tckachenko allows following entities to bill medicare on his behalf.
Entity NameValley Anesthesiology Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285660704
PECOS PAC ID: 4880591841
Enrollment ID: O20031217000620
Entity NameSjhmc Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326098005
PECOS PAC ID: 4486646197
Enrollment ID: O20040401001189
Entity NameBanner Hospital Based Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275889891
PECOS PAC ID: 3274782487
Enrollment ID: O20121003000752
Entity NameBanner - University Hospital Based Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750751566
PECOS PAC ID: 1052614294
Enrollment ID: O20160122000508
Entity NameNorthern Arizona Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669914552
PECOS PAC ID: 3577473362
Enrollment ID: O20170801003409

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. Dmitriy Sergeevick Tckachenko 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
Dmitriy Sergeevick Tckachenko, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -		Dmitriy Sergeevick Tckachenko, MD
1701 N Senate Blvd,
Indianapolis, IN 46202-1239

Ph: (317) 577-4200

Reviews and Comments


Anesthesiology Doctors in Indianapolis, IN

Thomas M Donahue, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202
Phone: 317-577-4200    Fax: 317-577-9503
Jennifer Marie Labrie-deem, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256
Phone: 317-621-6262    
John Thomas Gripe, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1801 N Senate Blvd, Indianapolis, IN 46202
Phone: 317-577-4200    
Karen L. Bumb, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202
Phone: 317-567-2180    Fax: 317-567-2191
Christian N Beaton, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202
Phone: 317-567-2179    Fax: 317-567-2191
Erin S Murphy, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202
Phone: 317-567-2179    Fax: 317-567-2191
Jane Gunsenhouser, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 2001 W 86th St, Indianapolis, IN 46260
Phone: 317-567-2180    Fax: 317-567-2191

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.