Douglas Mcdonald Childs, CRNA in Springfield, IL - Medicare Nurse Anesthetist, Certified Registered

Douglas Mcdonald Childs, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springfield, Illinois. His current practice location is 800 E Carpenter St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 525-5643.

Douglas Mcdonald Childs is licensed to practice in Illinois (license number 209010588) 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 1003249186.

Contact Information

	Douglas Mcdonald Childs, CRNA
	800 E Carpenter St, Springfield, IL 62704-5324
	(217) 525-5643
	(217) 544-2521

Map and Direction

Provider's Profile

Full Name	Douglas Mcdonald Childs
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	800 E Carpenter St, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003249186
Provider Enumeration Date: 08/13/2013
Last Update Date: 12/29/2021

Medicare PECOS Information:

PECOS PAC ID: 5597992941
Enrollment ID: I20131211000477

Medical Identifiers

Medical identifiers for Douglas Mcdonald Childs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003249186	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209010588 (Illinois)	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. Douglas Mcdonald Childs allows following entities to bill medicare on his behalf.

Entity Name	Taylorville Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518170729 PECOS PAC ID: 8022914704 Enrollment ID: O20031211001049

Entity Name	Associated Anesthesiologists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544

Entity Name	Memorial Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255393112 PECOS PAC ID: 7315835949 Enrollment ID: O20040713000579

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. Douglas Mcdonald 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
Douglas Mcdonald Childs, CRNA 800 E Carpenter St, Springfield, IL 62702-5324 Ph: (217) 791-3684	Douglas Mcdonald Childs, CRNA 800 E Carpenter St, Springfield, IL 62704-5324 Ph: (217) 525-5643

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Springfield, IL

Carol A Gorden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071
Ann R Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Anesthesia Department, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071
Jenna Younker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62702 Phone: 217-525-5643 Fax: 217-544-2521
Kelsey A Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000
Delores A Gallo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541
Larry D. Sartore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 East Carpenter Street, Room 2k64, Springfield, IL 62769 Phone: 217-525-5643 Fax: 217-544-3311

Douglas Mcdonald Childs, CRNA - Medicare Nurse Anesthetist, Certified Registered in Springfield, IL