Dr Clinton R Childs, MD in Broken Arrow, OK

Dr Clinton R Childs, MD is a medicare enrolled "Family Medicine" physician in Broken Arrow, Oklahoma. His current practice location is 1130 E Lansing, Broken Arrow, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 258-9990.

Dr Clinton R Childs is licensed to practice in Oklahoma (license number 19517) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841245024.

Contact Information

	Dr Clinton R Childs, MD
	1130 E Lansing, Broken Arrow, OK 74012
	(918) 258-9990
	(918) 994-4277

Map and Direction

Physician's Profile

Full Name	Dr Clinton R Childs
Gender	Male
Speciality	Family Medicine
Location	1130 E Lansing, Broken Arrow, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841245024
Provider Enumeration Date: 05/24/2006
Last Update Date: 09/26/2018

Medicare PECOS Information:

PECOS PAC ID: 8123117744
Enrollment ID: I20160405002357

Medical Identifiers

Medical identifiers for Dr Clinton R Childs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841245024	NPI	-	NPPES
047146801	Medicaid	TX
080175359	Other	TX	RR MEDICARE
047146802	Medicaid	TX
8A9711	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	K3130 (Texas)	Secondary
207Q00000X	Family Medicine	19517 (Oklahoma)	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. Dr Clinton R Childs allows following entities to bill medicare on his behalf.

Entity Name	St John Urgent Care Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003918830 PECOS PAC ID: 5890898084 Enrollment ID: O20070308000190

Entity Name	Our Family Doctor Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992537211 PECOS PAC ID: 6800325242 Enrollment ID: O20250129002883

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 Clinton R Childs 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 Clinton R Childs, MD Po Box 140728, Broken Arrow, OK 74014 Ph: (918) 258-9990	Dr Clinton R Childs, MD 1130 E Lansing, Broken Arrow, OK 74012 Ph: (918) 258-9990

Reviews and Comments

Family Medicine Doctors in Broken Arrow, OK

Dr. James Michael Ritze, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 S Elm Pl, Suite C, Broken Arrow, OK 74012 Phone: 918-451-9988
Nicole Paola Mathes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 W Boise Cir Ste 160, Broken Arrow, OK 74012 Phone: 918-994-9166 Fax: 918-403-6306
Sujan Joshi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-455-4541 Fax: 918-449-9743
Robert Jeffrey Wright, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 800 W Boise Cir Ste 160, Broken Arrow, OK 74012 Phone: 918-994-9160 Fax: 918-403-6306
Christopher Jason Guinn, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2617 S Elm Pl Ste 100, Broken Arrow, OK 74012 Phone: 918-455-4541 Fax: 918-449-9743
Bart Rider, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2950 S Elm Pl, Ste 160, Broken Arrow, OK 74012 Phone: 918-449-3750 Fax: 918-449-3755
Dr. Jefferey L Davis, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2021 S Elm Place, Broken Arrow, OK 74012 Phone: 918-806-6461 Fax: 918-806-6710

Dr Clinton R Childs, MD - Medicare Family Medicine in Broken Arrow, OK