Ethan Chernivec, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Indianapolis, Indiana. He graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as General Surgery. 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
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1336897586.
Physician's Profile
| Full Name | Ethan Chernivec |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 3 Years |
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| Location | 545 Barnhill Dr # Eh125, Indianapolis, Indiana |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ethan Chernivec graduated from medical school in 2023
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: I20250603004300
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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