Deborah Kem Clark, MD in Carmel, IN - Medicare Internal Medicine

Deborah Kem Clark, MD is a medicare enrolled "Internal Medicine" physician in Carmel, Indiana. She graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Indiana Clinic Critical Care Llc, Iu Health Medical Group Llc and her current practice location is 11725 N Illinois St, Ste 465, Carmel, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 817-0010.

Deborah Kem Clark is licensed to practice in Indiana (license number 01064614A) 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 1639204571.

Contact Information

	Deborah Kem Clark, MD
	11725 N Illinois St, Ste 465, Carmel, IN 46032-3008
	(317) 817-0010
	(317) 817-0012

Map and Direction

Physician's Profile

Full Name	Deborah Kem Clark
Gender	Female
Speciality	Internal Medicine
Experience	19 Years
Location	11725 N Illinois St, Carmel, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Deborah Kem Clark graduated from medical school in 2006

NPI Data:

NPI Number: 1639204571
Provider Enumeration Date: 02/22/2007
Last Update Date: 03/05/2025

Medicare PECOS Information:

PECOS PAC ID: 6507949476
Enrollment ID: I20080215000210

Medical Identifiers

Medical identifiers for Deborah Kem Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639204571	NPI	-	NPPES
000000668456	Other	IN	ANTHEM PTAN
200978720	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	R1460 (Kentucky)	Secondary
207R00000X	Internal Medicine	01064614A (Indiana)	Primary
208M00000X	Hospitalist	01064614A (Indiana)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health North Hospital	Carmel, IN	Hospital
Indiana University Health	Indianapolis, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indiana Clinic Critical Care Llc	3678600988	182
Iu Health Medical Group Llc	9638617913	1024

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. Deborah Kem Clark allows following entities to bill medicare on her behalf.

Entity Name	Indiana Clinic Critical Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417285230 PECOS PAC ID: 3678600988 Enrollment ID: O20100419000408

Entity Name	Iu Health Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533

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. Deborah Kem Clark 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
Deborah Kem Clark, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Deborah Kem Clark, MD 11725 N Illinois St, Ste 465, Carmel, IN 46032-3008 Ph: (317) 817-0010

Reviews and Comments

Internal Medicine Doctors in Carmel, IN

Dr. Shelagh Anne Fraser, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12174 N Meridian St Ste 300, Carmel, IN 46032 Phone: 317-688-9000 Fax: 317-680-9900
Shania Grace Mayer, PA-C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10300 N Illinois St Ste 1100, Carmel, IN 46290 Phone: 317-944-0980
Robert Mark Kinn, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 13806 Stone Dr, Carmel, IN 46032 Phone: 317-893-1900
Olivia Ann Fondoble, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 13430 N Meridian St Ste 280, Carmel, IN 46032 Phone: 317-582-8030
Dr. Peter Jerome Bustamante, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13450 N Meridian St Ste 354, Carmel, IN 46032 Phone: 317-338-5100
Thomas L Hutchinson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11725 Illinois Street, Suite 465, Carmel, IN 46032 Phone: 317-817-0010 Fax: 317-817-0012
Eric Bain, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10590 N Meridian St, Carmel, IN 46290 Phone: 317-338-6666

Deborah Kem Clark, MD - Medicare Internal Medicine in Carmel, IN