David Craig Schaefer, MD
Individual provider Active NPI Family Medicine Physician · Childress, TX
NPI 1649533969 · NPPES record last updated Oct 18, 2016
Key facts
- NPI
- 1649533969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- BP10044617 (TX)
- Practice address
- 1001 US Highway 83 N
Childress, TX 79201-2322 - Phone
- (940) 937-3636
- Fax
- (940) 937-9615
- NPI assigned
- Jun 21, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Childress County Hospital District
Practice addresses (Care Compare)
1001 US Hwy 83 N
Childress, TX 79201-2322
Phone (940) 937-3636
Hospital & facility affiliations
- Childress Regional Medical Center Home Health Serv
- Roadrunner Homecare
- Accentcare Health
- Bluebonnet Home Health & Hospice Company
- Childress Regional Medical Center Hospice
- Childress Regional Medical Center
- Bsa Hospital
- Collingsworth General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141022001082 | TX | Practitioner - Family Practice | 6204057912 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10044617 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group of Texas PLLC | Current |
Accepting new patients | |
| Concord Medical Group PLLC | Current |
Accepting new patients | |
| Childress County Hospital District | Current |
Accepting new patients | |
| Childress County Hospital District | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
901 US Highway 83 N
Childress, TX 79201
Phone (940) 937-6371
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891
305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | BP10044617 | TX | Yes |
Addresses
Primary practice location
1001 US Highway 83 N
Childress, TX 79201-2322
Mailing address
1001 US Highway 83 N
Childress, TX 79201-2322
Phone (940) 937-3636
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 339530304 | Medicaid | TX | |
| 8FA486 | Other | TX | BCBS OF TEXAS |
Other providers in Childress, TX
- Kaytlen Brooke Ramsey
- Dondi D Ridens
- Rivertree Resource RT Consulting and Education
- Room to Grow: Therapy, Supervision, Consultation, PLLC
- Alaina Kate Schaefer
- Tyson Keith Schaefer
- Signature Eyewear,LLC
- Tara Sims
- Joseph Steele
- Carl Craig Stingel
All providers in Childress, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.