John Clyde Childress Iii, MD - Medicare Diagnostic Radiology in Wyoming, MI

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John Clyde Childress Iii, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Wyoming, Michigan. He went to University Of Michigan Medical School and graduated in 2010 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Advanced Medical Imaging Llc, Tra-minw P S, Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance, Charlotte Radiology Pa, Union Avenue Open Mri Llc, Radiology Associates Pc, Charlotte Radiology Pa and his current practice location is 5900 Byron Center Ave Sw, Wyoming, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 252-7159.

John Clyde Childress Iii is licensed to practice in Michigan (license number 4301096654) 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 1780902841.

Contact Information

John Clyde Childress Iii, MD
5900 Byron Center Ave Sw,
Wyoming, MI 49519-9606
(616) 252-7159
Not Available

Map and Direction




Physician's Profile

Full NameJohn Clyde Childress Iii
GenderMale
SpecialityDiagnostic Radiology
Experience16 Years
Location5900 Byron Center Ave Sw, Wyoming, Michigan
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:
  • John Clyde Childress Iii attended and graduated from University Of Michigan Medical School in 2010
  NPI Data:
  • NPI Number: 1780902841
  • Provider Enumeration Date: 05/13/2010
  • Last Update Date: 09/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0143533695
  • Enrollment ID: I20160309002766

Medical Identifiers

Medical identifiers for John Clyde Childress Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780902841NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 0101284952 (Virginia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology MD61654673 (Washington)Secondary
2085R0202XRadiology - Diagnostic Radiology 4301096654 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Phelps Memorial Health CenterHoldrege, NEHospital
York General HospitalYork, NEHospital
Carolinas Medical Center/behav HealthCharlotte, NCHospital
Fillmore County HospitalGeneva, NEHospital
Pender Community HospitalPender, NEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Medical Imaging Llc084026577336
Tra-minw P S2163316167140
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance3375603970103
Charlotte Radiology Pa4587577390191
Union Avenue Open Mri Llc559765291742
Radiology Associates Pc569873518133
Charlotte Radiology Pa4587577390191

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. John Clyde Childress Iii allows following entities to bill medicare on his behalf.
Entity NameCharlotte Radiology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649220443
PECOS PAC ID: 4587577390
Enrollment ID: O20031107000484
Entity NameBlue Ridge Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467993931
PECOS PAC ID: 9436159712
Enrollment ID: O20070110000601
Entity NameMedical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083802946
PECOS PAC ID: 3375603970
Enrollment ID: O20221101000593
Entity NameTra-minw P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396814166
PECOS PAC ID: 2163316167
Enrollment ID: O20221103001888
Entity NameUnion Avenue Open Mri Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568531242
PECOS PAC ID: 5597652917
Enrollment ID: O20221212003004
Entity NameAdvanced Medical Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437116936
PECOS PAC ID: 0840265773
Enrollment ID: O20250602003566

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. John Clyde Childress Iii 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
John Clyde Childress Iii, MD
5900 Byron Center Ave Sw,
Wyoming, MI 49519-9606

Ph: (616) 252-7159		John Clyde Childress Iii, MD
5900 Byron Center Ave Sw,
Wyoming, MI 49519-9606

Ph: (616) 252-7159

Reviews and Comments


Radiology Doctors in Wyoming, MI

Dr. Jennifer Alexandra Novak, MD
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Janan Abbas Alkilidar, MD
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Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519
Phone: 616-252-7789    Fax: 616-252-6936
Guillermo R Sanchez, M.D.
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Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519
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Dr. Matthew August Tiede, M.D.
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Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519
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Sharon Renee Helmer, M.D.
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Derek Paul Bergsma, M.D.
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Practice Location: 5950 Metro Way Sw, Wyoming, MI 49519
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Dr. Kishendra Gopaul, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519
Phone: 616-252-7159    

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.

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