B Carol Clark-kutscher, ANP in Carbondale, IL

B Carol Clark-kutscher, ANP is a medicare enrolled "Nurse Practitioner" in Carbondale, Illinois. She graduated from nursing school in 2002 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Deaconess Illinois Specialty Clinic, Inc. and her current practice location is 409 W Oak St, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 529-4455.

B Carol Clark-kutscher is licensed to practice in Illinois (license number 209007469) 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 1962507087.

Contact Information

	B Carol Clark-kutscher, ANP
	409 W Oak St, Carbondale, IL 62901-1414
	(618) 529-4455
	(618) 351-1287

Map and Direction

Provider's Profile

Full Name	B Carol Clark-kutscher
Gender	Female
Speciality	Nurse Practitioner
Experience	23 Years
Location	409 W Oak St, Carbondale, Illinois
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:

B Carol Clark-kutscher graduated from nursing school in 2002

NPI Data:

NPI Number: 1962507087
Provider Enumeration Date: 09/13/2006
Last Update Date: 01/26/2023

Medicare PECOS Information:

PECOS PAC ID: 1759447048
Enrollment ID: I20090312000118

Medical Identifiers

Medical identifiers for B Carol Clark-kutscher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962507087	NPI	-	NPPES
428317200	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	114921 (Missouri)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	209007469 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209007469 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Crossroads Community Hospital	Mount vernon, IL	Hospital
Heartland Regional Medical Center	Marion, IL	Hospital
Ssm Health - Good Samaritan Hospital	Mount vernon, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deaconess Illinois Specialty Clinic, Inc.	9830562016	77

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. B Carol Clark-kutscher allows following entities to bill medicare on her behalf.

Entity Name	Good Samaritan Regional Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325

Entity Name	Deaconess Illinois Specialty Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688

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. B Carol Clark-kutscher 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
B Carol Clark-kutscher, ANP Po Box 1105, Indianapolis, IN 46206-1105 Ph: (618) 529-4455	B Carol Clark-kutscher, ANP 409 W Oak St, Carbondale, IL 62901-1414 Ph: (618) 529-4455

Reviews and Comments

Nurse Practitioner Nurses in Carbondale, IL

Miss Whitney Mcguire, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522
Ashley Nicole Mitchell, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Natasha Charlyn Shafer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1340 Cedar Ct Ste 202, Carbondale, IL 62901 Phone: 618-529-7821
Mrs. Jennifer Sue Campos, FNP-BC, CCRN, CMC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Lindsay B Casolari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Andrea Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Monica L Nagele, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Cedar Ct, Carbondale, IL 62901 Phone: 618-490-1045

B Carol Clark-kutscher, ANP - Medicare Nurse Practitioner in Carbondale, IL