Ethan John Chupka, CRNA in Kalamazoo, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Ethan John Chupka, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kalamazoo, Michigan. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Hospitalist Medicine Physicians Of Washington - Tcs and his current practice location is 900 Peeler St, Kalamazoo, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 342-7833.

Ethan John Chupka is licensed to practice in Michigan (license number 4704315820) 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 1659971034.

Contact Information

	Ethan John Chupka, CRNA
	900 Peeler St, Kalamazoo, MI 49008-2300
	(269) 342-7833
	Not Available

Map and Direction

Provider's Profile

Full Name	Ethan John Chupka
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	900 Peeler St, Kalamazoo, Michigan
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:

Ethan John Chupka graduated from nursing school in 2020

NPI Data:

NPI Number: 1659971034
Provider Enumeration Date: 10/27/2020
Last Update Date: 11/19/2021

Medicare PECOS Information:

PECOS PAC ID: 0547672685
Enrollment ID: I20231130003620

Medical Identifiers

Medical identifiers for Ethan John Chupka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659971034	NPI	-	NPPES
4704315820	Other	MI	MI LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704315820 (Michigan)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	4704315820 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Vincent Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hospitalist Medicine Physicians Of Washington - Tcs	6800240102	169

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. Ethan John Chupka allows following entities to bill medicare on his behalf.

Entity Name	Hospitalist Medicine Physicians Of Washington - Tcs
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649816380 PECOS PAC ID: 6800240102 Enrollment ID: O20230920001616

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 John Chupka 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 John Chupka, CRNA 900 Peeler St, Kalamazoo, MI 49008-2300 Ph: (269) 345-8618	Ethan John Chupka, CRNA 900 Peeler St, Kalamazoo, MI 49008-2300 Ph: (269) 342-7833

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Kalamazoo, MI

Ochuko Andrew Oghor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Kalamazoo, MI 49007 Phone: 239-341-7654
Anne Colonius, BSN, SRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618
Tamara Heaston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Peeler St Ste B, Kalamazoo, MI 49008 Phone: 269-345-8618 Fax: 269-345-1508
Jessica R. Zoccoli, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618 Fax: 269-345-1508
Joseph Aikens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618 Fax: 269-345-1508
Sophia K Quartey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618 Fax: 269-345-1508
Emma Breen, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618

Ethan John Chupka, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Kalamazoo, MI