| Dr Rodjawan Supakul, MD | |
|
11700 N Meridian St, Carmel, IN 46032-4656 | |
| (317) 962-5820 | |
| (317) 962-5841 |
| Full Name | Dr Rodjawan Supakul |
|---|---|
| Gender | Female |
| Speciality | Pulmonary Disease |
| Experience | 17 Years |
| Location | 11700 N Meridian 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730463720 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health North Hospital | Carmel, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana Clinic Critical Care Llc | 3678600988 | 182 |
| Iu Health Medical Group Llc | 9638617913 | 1024 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rodjawan Supakul, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Dr Rodjawan Supakul, MD 11700 N Meridian St, Carmel, IN 46032-4656 Ph: (317) 962-5820 |
Dr. Shelagh Anne Fraser, MD Critical Care 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 Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 10300 N Illinois St Ste 1100, Carmel, IN 46290 Phone: 317-944-0980 | |
Robert Mark Kinn, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 13806 Stone Dr, Carmel, IN 46032 Phone: 317-893-1900 | |
Olivia Ann Fondoble, M.D. Critical Care 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 Critical Care 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. Critical Care 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, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 10590 N Meridian St, Carmel, IN 46290 Phone: 317-338-6666 |