Kerry M Ettensohn, MD - Medicare Anesthesiology in Indianapolis, IN

Kerry M Ettensohn, MD is a medicare enrolled "Anesthesiology" physician in Indianapolis, Indiana. She went to Indiana University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Southeast Anesthesiologists, Inc. and her current practice location is 8111 S Emerson Ave, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 345-3116.

Kerry M Ettensohn is licensed to practice in Indiana (license number 01064889A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821252107.

Contact Information

Kerry M Ettensohn, MD
8111 S Emerson Ave,
Indianapolis, IN 46237-8601
(317) 345-3116
Not Available

Map and Direction




Physician's Profile

Full NameKerry M Ettensohn
GenderFemale
SpecialityAnesthesiology
Experience19 Years
Location8111 S Emerson Ave, Indianapolis, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kerry M Ettensohn attended and graduated from Indiana University School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1821252107
  • Provider Enumeration Date: 07/15/2008
  • Last Update Date: 03/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9931253697
  • Enrollment ID: I20090813000814

Medical Identifiers

Medical identifiers for Kerry M Ettensohn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821252107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 01064889A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Franciscan Health IndianapolisIndianapolis, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Anesthesiologists, Inc.680083798091

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. Kerry M Ettensohn allows following entities to bill medicare on her behalf.
Entity NameSoutheast Anesthesiologists, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548210685
PECOS PAC ID: 6800837980
Enrollment ID: O20050518001265

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. Kerry M Ettensohn 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 AddressPractice Location Address
Kerry M Ettensohn, MD
450 E 96th St Ste 200,
Indianapolis, IN 46240-3797

Ph: () -
Kerry M Ettensohn, MD
8111 S Emerson Ave,
Indianapolis, IN 46237-8601

Ph: (317) 345-3116

Reviews and Comments


Anesthesiology Doctors in Indianapolis, IN

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Makoto Kataoka, M.D
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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