Ethan Charles Blocher-smith, DO | |
11530 Allisonville Rd Ste 190, Fishers, IN 46038-1862 | |
(317) 678-3850 | |
(317) 968-1142 |
Full Name | Ethan Charles Blocher-smith |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 5 Years |
Location | 11530 Allisonville Rd Ste 190, Fishers, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922667765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5151013948 (Michigan) | Secondary |
207Q00000X | Family Medicine | 02006717A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health | Indianapolis, IN | Hospital |
Indiana University Health North Hospital | Carmel, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana University Health Care Associates Inc | 5799755864 | 905 |
Entity Name | Indiana University Health Care Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
---|---|
Ethan Charles Blocher-smith, DO 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Ethan Charles Blocher-smith, DO 11530 Allisonville Rd Ste 190, Fishers, IN 46038-1862 Ph: (317) 678-3850 |
Darcy L Henson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 13121 Olio Road, Suite 300, Fishers, IN 46037 Phone: 317-621-1300 Fax: 317-621-1310 | |
Mrs. Daniela Gueorguieva Djodjeva, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12574 Promise Creek Ln Ste 110, Fishers, IN 46038 Phone: 317-900-1206 Fax: 317-773-0844 | |
Kristen L. Blume, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10995 Allisonville Rd, Suite 100, Fishers, IN 46038 Phone: 317-842-7928 Fax: 317-841-3337 | |
Robert Andrew Zukas, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11846 Lakeside Dr, Fishers, IN 46038 Phone: 317-621-4830 Fax: 317-621-4831 | |
Todd R Fogelsong, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13121 Olio Rd, Suite 300, Fishers, IN 46037 Phone: 317-621-1300 | |
Stephan M Zentner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9795 E 116th St, Fishers, IN 46037 Phone: 317-913-8100 | |
Carrie A Melloh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8890 E 116th St, Suite 300, Fishers, IN 46038 Phone: 317-621-1500 Fax: 317-621-1509 |