Ethan Obenauer, MS/CAS is a
Psychologist - School based in New Palestine, Indiana. Ethan Obenauer is licensed to practice in Indiana (license number 15083667) and his current practice location is
Po Box 508, New Palestine, Indiana. He can be reached at his office (for appointments etc.) via phone at
(317) 861-4463.
NPI number for Ethan Obenauer is 1801616081 and his current mailing address is Po Box 508, New Palestine, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801616081.
Healthcare Provider's Profile
Full Name | Ethan Obenauer |
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Gender | Male |
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Speciality | Psychologist - School |
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Location | Po Box 508, New Palestine, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801616081
- Provider Enumeration Date: 10/14/2024
- Last Update Date: 10/14/2024
Medical Identifiers
Medical identifiers for Ethan Obenauer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801616081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 15083667 (Indiana) | 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 Obenauer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ethan Obenauer, MS/CAS Po Box 508, New Palestine, IN 46163-0508 Ph: () - | Ethan Obenauer, MS/CAS Po Box 508, New Palestine, IN 46163-0508 Ph: (317) 861-4463 |
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