Mr Shelby Odell Church Jr, PA-C in Beaumont, TX

Mr Shelby Odell Church Jr, PA-C is a medicare enrolled "Physician Assistant - Medical" in Beaumont, Texas. He went to University Of Nebraska College Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Beaumont Family Practice Associates Pa and his current practice location is 6450 Folsom Dr, Beaumont Family Practice Associates, Beaumont, Texas. You can reach out to his office (for appointments etc.) via phone at (409) 835-0524.

Mr Shelby Odell Church Jr is licensed to practice in Texas (license number PA01919) 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 1942365564.

Contact Information

	Mr Shelby Odell Church Jr, PA-C
	6450 Folsom Dr, Beaumont Family Practice Associates, Beaumont, TX 77706-7269
	(409) 835-0524
	(409) 833-2058

Map and Direction

Provider's Profile

Full Name	Mr Shelby Odell Church Jr
Gender	Male
Speciality	Physician Assistant
Experience	26 Years
Location	6450 Folsom Dr, Beaumont, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Shelby Odell Church Jr attended and graduated from University Of Nebraska College Of Medicine in 1998

NPI Data:

NPI Number: 1942365564
Provider Enumeration Date: 12/26/2006
Last Update Date: 09/07/2022

Medicare PECOS Information:

PECOS PAC ID: 1052486313
Enrollment ID: I20080820000758

Medical Identifiers

Medical identifiers for Mr Shelby Odell Church Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942365564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA01919 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southern Home Health	Nederland, TX	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beaumont Family Practice Associates Pa	5092744797	6

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. Mr Shelby Odell Church Jr 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
Mr Shelby Odell Church Jr, PA-C 6450 Folsom Dr, Beaumont, TX 77706-7269 Ph: (409) 835-0524	Mr Shelby Odell Church Jr, PA-C 6450 Folsom Dr, Beaumont Family Practice Associates, Beaumont, TX 77706-7269 Ph: (409) 835-0524

Reviews and Comments

Physician Assistant Nurses in Beaumont, TX

Kelly Lock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6450 Folsom Dr, Beaumont, TX 77706 Phone: 409-835-0524 Fax: 409-835-0632
Victoria Elliott Adams, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 87 Interstate 10 N Ste 127, Beaumont, TX 77707 Phone: 409-860-8181 Fax: 409-860-8184
Mr. Nathan Guy Ferrell, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3650 Laurel St, Beaumont, TX 77707 Phone: 409-838-0346
Katherine Demeritt, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3080 College St, Beaumont, TX 77701 Phone: 409-212-5000
Frederick Joseph Bebeau, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3650 Laurel St, Beaumont, TX 77707 Phone: 409-838-0346 Fax: 409-924-4951
Ms. Valerie Johnson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6450 Folsom Dr, Beaumont, TX 77706 Phone: 409-835-0524 Fax: 409-923-1293
Mrs. Gina Vandevender, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 810 Hospital Dr, Ste 115, Beaumont, TX 77701 Phone: 409-838-4533 Fax: 409-833-1616

Mr Shelby Odell Church Jr, PA-C - Medicare Physician Assistant in Beaumont, TX