Angela Caskey Hafernick, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P0596 Issued in TX

Practice address

206 Gene Samford Dr Ste B
Lufkin, TX 75904-3376

Phone

(936) 634-3396

Fax

(936) 634-4398

NPI assigned

Jun 21, 2010

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catalyst Physician Group - Etx PLLCGroup PAC ID 5991235848, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reliant at Home Home health agency, Lufkin, TX, CCN 747328
• CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
• Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.hafernick.1@30724.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/30724/brand/1/csg/1/fhir/r4

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

• Catalyst Physician Group - Etx PLLC

  • Family Medicine Physician
  • Plano, TX
  • NPI 1316703614
  Medicare reassignment Care Compare group NPD
• Family Medicine of East Texas, PA

  • Family Medicine Physician
  • Lufkin, TX
  • NPI 1285071977
  Medicare reassignment NPD Authorized official

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

• Agape Home Care Services LLC

  dba Reliant at Home

  • Home Health Agency
  • Lufkin, TX
  • NPI 1043450125
  Care Compare affiliation
• Memorial Health System of East Texas

  dba CHI St. Lukes Health Memorial Lufkin

  • Rural Acute Care Hospital
  • Lufkin, TX
  • NPI 1396746129
  Care Compare affiliation
• Piney Woods Healthcare System, L.P.

  dba Woodland Heights Medical Center

  • General Acute Care Hospital
  • Lufkin, TX
  • NPI 1487607792
  Care Compare affiliation

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669793006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 GENE SAMFORD DR STE B",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043376",
            "telephone_number": "936-634-3396",
            "fax_number": "936-634-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 GENE SAMFORD DR STE B",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043376",
            "telephone_number": "936-634-3396",
            "fax_number": "936-634-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFERNICK",
        "first_name": "ANGELA",
        "middle_name": "CASKEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tracy Elizabeth Guthrie, LPC
• John Khoa Ha, D.O.
• Haley B. McClendon, DDS, PLLC (Hollywood Dental Center)
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• Robert Victor Hallett, MD
• Jack Chandler Halter, M.D.

• Family Medicine Physician in Lufkin, TX
• Providers in Lufkin, 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 Jul 21, 2022; 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.