Ethan Chernivec, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Indianapolis, Indiana. His current practice location is
545 Barnhill Dr # Eh125, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 274-7436.
Ethan Chernivec is licensed to practice in * (Not Available) (license number ) 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 1336897586.
Physician's Profile
Full Name | Ethan Chernivec |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 545 Barnhill Dr # Eh125, Indianapolis, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336897586
- Provider Enumeration Date: 03/16/2022
- Last Update Date: 05/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 8628435518
- Enrollment ID: I20230608001017
Medical Identifiers
Medical identifiers for Ethan Chernivec such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336897586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 01095904A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Ethan Chernivec 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 Address | Practice Location Address |
Ethan Chernivec, MD 545 Barnhill Dr # Eh125, Indianapolis, IN 46202-5112 Ph: (317) 274-7436 | Ethan Chernivec, MD 545 Barnhill Dr # Eh125, Indianapolis, IN 46202-5112 Ph: (317) 274-7436 |
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