Dmitriy Sergeevick Tckachenko, MD in Indianapolis, IN

Dmitriy Sergeevick Tckachenko, MD is a medicare enrolled "Anesthesiology" physician in Indianapolis, Indiana. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Valley Anesthesiology Consultants Inc, Iu Anesthesiology Associates, Llc 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 Name	Dmitriy Sergeevick Tckachenko
Gender	Male
Speciality	Anesthesiology
Experience	27 Years
Location	1701 N Senate Blvd, Indianapolis, Indiana
Accepts Medicare Assignments	Yes. 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: 05/03/2023

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.

Identifier	Type	State	Issuer
1285645531	NPI	-	NPPES
095200131	Other	IN	MEDICARE PTAN
P00353901	Other		MEDICARE RAILROAD
117490	Medicaid	AZ
300071919	Medicaid	IN
364430307	Other	IN	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	35378 (Arizona)	Secondary
207L00000X	Anesthesiology	01089003A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health	Indianapolis, IN	Hospital
Honorhealth Scottsdale Shea Medical Center	Scottsdale, AZ	Hospital
Honorhealth Deer Valley Medical Center	Phoenix, AZ	Hospital
Banner - University Medical Center Phoenix	Phoenix, AZ	Hospital
John C. Lincoln North Mountain Hospital	Phoenix, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Valley Anesthesiology Consultants Inc	4880591841	343
Iu Anesthesiology Associates, Llc	5395730303	158

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 Name	Banner -- University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694

Entity Name	Valley Anesthesiology Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285660704 PECOS PAC ID: 4880591841 Enrollment ID: O20031217000620

Entity Name	Sjhmc Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326098005 PECOS PAC ID: 4486646197 Enrollment ID: O20040401001189

Entity Name	Banner - University Hospital Based Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508

Entity Name	Northern Arizona Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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
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: Accepting Medicare Assignments 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
Makoto Kataoka, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200

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