Jack R Childress, MD - Medicare Internal Medicine in Lake Kiowa, TX

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Jack R Childress, MD is a medicare enrolled "Internal Medicine" physician in Lake Kiowa, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 1983 and has 41 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Rural Physicians Group-pannu Pllc, Rural Physicians Group-pannu Pllc, Rural Physicians Group-pannu Pllc and his current practice location is 105 Sequoya Dr, Lake Kiowa, Texas. You can reach out to his office (for appointments etc.) via phone at (940) 736-8885.

Jack R Childress is licensed to practice in Texas (license number H5535) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841245883.

Contact Information

Jack R Childress, MD
105 Sequoya Dr,
Lake Kiowa, TX 76240-9446
(940) 736-8885
(940) 668-8292

Map and Direction




Physician's Profile

Full NameJack R Childress
GenderMale
SpecialityInternal Medicine
Experience41 Years
Location105 Sequoya Dr, Lake Kiowa, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jack R Childress attended and graduated from University Of Texas Medical Branch At Galveston in 1983
  NPI Data:
  • NPI Number: 1841245883
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 12/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739115494
  • Enrollment ID: I20050713000965

Medical Identifiers

Medical identifiers for Jack R Childress such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841245883NPI-NPPES
8V4246OtherTXBCBS-TEXAS
163713001MedicaidAR
1140766-07MedicaidTX
84487OtherARBCBS-ARKANSAS
P00466537OtherTXRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist H5535 (Texas)Secondary
207R00000XInternal Medicine H5535 (Texas)Primary
207R00000XInternal Medicine 14502A (Wyoming)Secondary
207R00000XInternal Medicine 97208 (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Warm Springs Medical CenterWarm springs, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rural Physicians Group-pannu Pllc034546748689
Rural Physicians Group-pannu Pllc034546748689
Rural Physicians Group-pannu Pllc034546748689

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. Jack R Childress allows following entities to bill medicare on his behalf.
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531
Entity NameCogent Healthcare Of Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992722953
PECOS PAC ID: 8628076924
Enrollment ID: O20061121000364
Entity NameGreater Texoma Health Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386760023
PECOS PAC ID: 3971650318
Enrollment ID: O20090422000129
Entity NameHospitalist Medicine Physicians Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20100317001021
Entity NameConcord Medical Group Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750790762
PECOS PAC ID: 7810117223
Enrollment ID: O20141007002567
Entity NameRural Physicians Group-pannu Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891236584
PECOS PAC ID: 0345467486
Enrollment ID: O20180126000519
Entity NameHospitalist Medicine Physicians Of Texas - Texarkana, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720623440
PECOS PAC ID: 9739516881
Enrollment ID: O20200302000606

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. Jack R 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
Jack R Childress, MD
105 Sequoya Dr,
Lake Kiowa, TX 76240-9446

Ph: (940) 736-8885		Jack R Childress, MD
105 Sequoya Dr,
Lake Kiowa, TX 76240-9446

Ph: (940) 736-8885

Reviews and Comments


Internal Medicine Doctors in Lake Kiowa, TX


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.