Dr Rodjawan Supakul, MD in Carmel, IN - Medicare Pulmonary Disease

Dr Rodjawan Supakul, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Carmel, Indiana. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Pulmonary Disease. She is a member of the group practice Indiana Clinic Critical Care Llc and her current practice location is 11700 N Meridian St, Carmel, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 962-5820.

Dr Rodjawan Supakul is licensed to practice in Indiana (license number 01088008A) 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 1730463720.

Contact Information

	Dr Rodjawan Supakul, MD
	11700 N Meridian St, Carmel, IN 46032-4656
	(317) 962-5820
	(317) 962-5841

Map and Direction

Physician's Profile

Full Name	Dr Rodjawan Supakul
Gender	Female
Speciality	Pulmonary Disease
Experience	16 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.

Medical Education and Training:

Dr Rodjawan Supakul graduated from medical school in 2008

NPI Data:

NPI Number: 1730463720
Provider Enumeration Date: 10/07/2011
Last Update Date: 09/29/2022

Medicare PECOS Information:

PECOS PAC ID: 3779852108
Enrollment ID: I20221003002040

Medical Identifiers

Medical identifiers for Dr Rodjawan Supakul such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730463720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	01088008A (Indiana)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	01088008A (Indiana)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	MD-43716 (Iowa)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	01088008A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health North Hospital	Carmel, IN	Hospital
Indiana University Health	Indianapolis, IN	Hospital
St Lukes Hospital	Cedar rapids, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indiana Clinic Critical Care Llc	3678600988	206

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. Dr Rodjawan Supakul 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

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. Dr Rodjawan Supakul 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
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

Reviews and Comments

Internal Medicine Doctors in Carmel, IN

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: Medicare Enrolled Practice Location: 10300 N Illinois St Ste 1100, Carmel, IN 46290 Phone: 317-944-0980
Robert Mark Kinn, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 13806 Stone Dr, Carmel, IN 46032 Phone: 317-893-1900
Olivia Ann Fondoble, M.D. Critical Care Medicine Medicare: Accepting 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
Latasha Hayes, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 13420 N Meridian St Ste 240, Carmel, IN 46032 Phone: 317-582-8600

Dr Rodjawan Supakul, MD - Medicare Pulmonary Disease in Carmel, IN