Glen G. Guillet, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D2445 Issued in TX

Practice address

5875 N Major Dr
Suite 214
Beaumont, TX 77713-9013

Phone

(409) 896-5901

Fax

(409) 896-5910

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Texas Medical Branch at Galveston, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Beaumont, TX, CCN 677137
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
• Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glen.guillet.1@9072.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Glen G.Guillet M.D.,P.a.

  • Primary Care Clinic/Center
  • Beaumont, TX
  • NPI 1730394545
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Hospitals of Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation
• Christus Health Southeast Texas

  • Rural Acute Care Hospital
  • Jasper, TX
  • NPI 1598749707
  Care Compare affiliation
• Christus Health Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation
• Preferred Home Health LP

  • Home Health Agency
  • Beaumont, TX
  • NPI 1023098399
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1326059577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 N MAJOR DR",
            "address_2": "SUITE 214",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777139013",
            "telephone_number": "409-896-5901",
            "fax_number": "409-896-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 N MAJOR DR",
            "address_2": "SUITE 214",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777139013",
            "telephone_number": "409-896-5901",
            "fax_number": "409-896-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLET",
        "first_name": "GLEN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D2445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8X9020",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George E Groves, M.D.
• Alaina Guidry, BCBA
• Amy L Guidry, MS, RD, LD
• Courtney Marie Guidry, PA-C
• Devin Troy Guidry, LVN
• Brittany Marie Guillory, D.C.
• Carol Devera Guillory, OTR
• Jessie Guillory
• Lacresha Guillory
• Valerie Ann Guillory

• Family Medicine Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.