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

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



Physician's Profile

Full NameSusan Boackle Childress
GenderFemale
SpecialityInternal Medicine - Rheumatology
Location12605 E 16th Ave, Aurora, Colorado
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1235229915NPI-NPPES
01355981MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology 35598 (Colorado)Secondary
207RR0500XInternal Medicine - Rheumatology H7909 (Texas)Secondary
207RR0500XInternal Medicine - Rheumatology MD.43902 (Alabama)Secondary
207RR0500XInternal Medicine - Rheumatology 335634 (Louisiana)Secondary
207RR0500XInternal 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 NameDenver Health And Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477569838
PECOS PAC ID: 4688583578
Enrollment ID: O20031105000211

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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 AddressPractice 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

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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
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