Ethan Chernivec, MD in Indianapolis, IN - Medicare Student in an Organized Health Care Education/Training Program

Ethan Chernivec, MD - Medicare Student in an Organized Health Care Education/Training Program in Indianapolis, IN

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.

Contact Information

	Ethan Chernivec, MD
	545 Barnhill Dr # Eh125, Indianapolis, IN 46202-5112
	(317) 274-7436
	Not Available

Map and Direction

Physician's Profile

Full Name	Ethan Chernivec
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	545 Barnhill Dr # Eh125, Indianapolis, Indiana
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: 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