Susan Boackle Childress, MD in Aurora, CO - Medicare Internal Medicine

Susan Boackle Childress, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Aurora, Colorado. Her current practice location is 12605 E 16th Ave, Aurora, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 848-0000.

Susan Boackle Childress is licensed to practice in Colorado (license number CDRH.0035598) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235229915.

Contact Information

	Susan Boackle Childress, MD
	12605 E 16th Ave, Aurora, CO 80045-2545
	(720) 848-0000
	Not Available

Map and Direction

Physician's Profile

Full Name	Susan Boackle Childress
Gender	Female
Speciality	Internal Medicine - Rheumatology
Location	12605 E 16th Ave, Aurora, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235229915
Provider Enumeration Date: 10/13/2006
Last Update Date: 05/09/2023

Medicare PECOS Information:

PECOS PAC ID: 3476524752
Enrollment ID: I20040802000706

Medical Identifiers

Medical identifiers for Susan Boackle Childress such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235229915	NPI	-	NPPES
01355981	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RR0500X	Internal Medicine - Rheumatology	35598 (Colorado)	Secondary
207RR0500X	Internal Medicine - Rheumatology	H7909 (Texas)	Secondary
207RR0500X	Internal Medicine - Rheumatology	MD.43902 (Alabama)	Secondary
207RR0500X	Internal Medicine - Rheumatology	335634 (Louisiana)	Secondary
207RR0500X	Internal Medicine - Rheumatology	CDRH.0035598 (Colorado)	Primary

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. Susan Boackle Childress allows following entities to bill medicare on her behalf.

Entity Name	Denver Health And Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477569838 PECOS PAC ID: 4688583578 Enrollment ID: O20031105000211

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. Susan Boackle Childress 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
Susan Boackle Childress, MD Po Box 110429, Aurora, CO 80042-0429 Ph: (303) 493-7000	Susan Boackle Childress, MD 12605 E 16th Ave, Aurora, CO 80045-2545 Ph: (720) 848-0000

Reviews and Comments

Internal Medicine Doctors in Aurora, CO

Samiran Bhattacharya, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 1635 Aurora Ct, Aurora, CO 80045 Phone: 720-848-0000
Payal Rohit Patel, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 303-724-6024
Jonathan A Gutman, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000
Jeffrey Glasheen, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000
Micol Rothman, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000
Larry Allen, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000
Virginia Borges, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000

Susan Boackle Childress, MD - Medicare Internal Medicine in Aurora, CO