Shelby Odell Church
BEAUMONT FAMILY PRACTICE ASSOCIATES PA


Address: 6450 Folsom Dr, Beaumont, TX 77706-7269
Phone: 4098350524

Shelby Odell Church (NPI# 1942365564, PAC ID# 1052486313) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1942365564
PAC ID by PECOS 1052486313
Professional Enrollment ID I20080820000758
Full Name Shelby Odell Church
Organization Legal Name BEAUMONT FAMILY PRACTICE ASSOCIATES PA
Address 6450 Folsom Dr
Beaumont
TX 77706-7269
Phone Number 4098350524
Gender M
Medical School UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year 1998
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 5092744797
Number of Group Practice Members 7
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450034 CHRISTUS HOSPITAL

Other Locations

Address Phone Organization
6450 Folsom Dr, Beaumont, TX 77706-7269 4098350524 BEAUMONT FAMILY PRACTICE ASSOCIATES PA

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 63%
ACI_EC_TRANS_HIE_1 Health Information Exchange 15%
ACI_EC_TRANS_MR_1 Medication Reconciliation 98%
ACI_EC_TRANS_PEA_1 Provide Patient Access 91%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 7%
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 2%
ACI_EC_TRANS_SM_1 Secure Messaging 63%
MIPS_EC_047_overall Care Plan 78%
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 13%

Organization Information

Organization Legal Name BEAUMONT FAMILY PRACTICE ASSOCIATES PA
Physicians 8

Physicians with the same organization

Name Specialty Organization Address
Aaran M Gassiott Nurse Practitioner Beaumont Family Practice Associates Pa 6450 Folsom Dr, Beaumont, TX 77706-7269
Jay C Proctor Iii Family Medicine Beaumont Family Practice Associates Pa 6450 Folsom Dr, Beaumont, TX 77706-7269
Tracy Foster Nurse Practitioner Beaumont Family Practice Associates Pa 6450 Folsom Dr, Beaumont, TX 77706-7269
Amber N Fling Nurse Practitioner Beaumont Family Practice Associates Pa 6450 Folsom Dr, Beaumont, TX 77706-7269
Harry J Doyle Nurse Practitioner Beaumont Family Practice Associates Pa 6450 Folsom Dr, Beaumont, TX 77706-7269
William Joseph Kujawski Nurse Practitioner Beaumont Family Practice Associates Pa 6450 Folsom Dr, Beaumont, TX 77706-7269
Amber N Dupree Nurse Practitioner Beaumont Family Practice Associates Pa 6450 Folsom Dr, Beaumont, TX 77706-7269

Office Location

Street Address 6450 FOLSOM DR
City BEAUMONT
State TX
Zip 77706-7269

Physicians in the same location

Name Specialty Organization Address
Aaran M Gassiott Nurse Practitioner Beaumont Family Practice Associates Pa 6450 Folsom Dr, Beaumont, TX 77706-7269
Jay C Proctor Iii Family Medicine Beaumont Family Practice Associates Pa 6450 Folsom Dr, Beaumont, TX 77706-7269
Tracy Foster Nurse Practitioner Beaumont Family Practice Associates Pa 6450 Folsom Dr, Beaumont, TX 77706-7269
Amber N Fling Nurse Practitioner Beaumont Family Practice Associates Pa 6450 Folsom Dr, Beaumont, TX 77706-7269
Harry J Doyle Nurse Practitioner Beaumont Family Practice Associates Pa 6450 Folsom Dr, Beaumont, TX 77706-7269
William Joseph Kujawski Nurse Practitioner Beaumont Family Practice Associates Pa 6450 Folsom Dr, Beaumont, TX 77706-7269
Amber N Dupree Nurse Practitioner Beaumont Family Practice Associates Pa 6450 Folsom Dr, Beaumont, TX 77706-7269

Physicians in the same zip code

Name Specialty Organization Address
Joshua B Rhodes Optometry Blount Kimball Medical Optometry Pa 5910 Muela Creek Dr, Suite A, Beaumont, TX 77706-1009
Leigh B Kimball Optometry Blount Kimball Medical Optometry Pa 5910 Muela Creek Dr, Suite A, Beaumont, TX 77706-1009
Samir N Patel Optometry Blount Kimball Medical Optometry Pa 5910 Muela Creek Dr, Suite A, Beaumont, TX 77706-1009
James M Bruyn Podiatry 6025 Metropolitan Dr, Suite 290, Beaumont, TX 77706-2407
Abigail E Craanen Physical Therapy Brain and Spine Center of Southeast Texas, Pllc 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409
Clifton William Hancock Orthopedic Surgery Brain and Spine Center of Southeast Texas, Pllc 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409
Eliseo Cummings Chiropractic Brain and Spine Center of Southeast Texas, Pllc 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409
Christle D Colbert Physical Medicine and Rehabilitation Brain and Spine Center of Southeast Texas, Pllc 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409
Sujin Yu Neurology Brain and Spine Center of Southeast Texas, Pllc 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409
Erwin Lo Neurosurgery Brain and Spine Center of Southeast Texas, Pllc 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409
Find all physicians in zip 77706

Competitor

Search similar physicians

City BEAUMONT
Zip Code 77706
Specialty PHYSICIAN ASSISTANT
City + Specialty BEAUMONT + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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