Ethan Charles Blocher-smith, DO - Medicare Family Practice in Fishers, IN

Ethan Charles Blocher-smith, DO is a medicare enrolled "Family Medicine" physician in Fishers, Indiana. He went to Marian University College Of Osteopathic Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Indiana University Health Care Associates Inc and his current practice location is 11530 Allisonville Rd Ste 190, Fishers, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 678-3850.

Ethan Charles Blocher-smith is licensed to practice in Indiana (license number 02006717A) 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 1922667765.

Contact Information

Ethan Charles Blocher-smith, DO
11530 Allisonville Rd Ste 190,
Fishers, IN 46038-1862
(317) 678-3850
(317) 968-1142



Physician's Profile

Full NameEthan Charles Blocher-smith
GenderMale
SpecialityFamily Practice
Experience5 Years
Location11530 Allisonville Rd Ste 190, Fishers, Indiana
Accepts Medicare AssignmentsYes. 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 Charles Blocher-smith attended and graduated from Marian University College Of Osteopathic Medicine in 2019
  NPI Data:
  • NPI Number: 1922667765
  • Provider Enumeration Date: 06/06/2019
  • Last Update Date: 06/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3476932666
  • Enrollment ID: I20220617001473

Medical Identifiers

Medical identifiers for Ethan Charles Blocher-smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922667765NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5151013948 (Michigan)Secondary
207Q00000XFamily Medicine 02006717A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University HealthIndianapolis, INHospital
Indiana University Health North HospitalCarmel, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Indiana University Health Care Associates Inc5799755864882

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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 Charles Blocher-smith allows following entities to bill medicare on his behalf.
Entity NameIndiana University Health Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902032832
PECOS PAC ID: 5799755864
Enrollment ID: O20040727000955

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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 Charles Blocher-smith 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
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

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Family Medicine Doctors in Fishers, IN

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

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