FAMILY MEDICINE OF EAST TEXAS, PA
NPI 1285071977
Family Medicine in Lufkin, TX
About Family Medicine Of East Texas, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICINE OF EAST TEXAS, PA (NPI 1285071977), doing business as Angela Hafernick, M.d., Pa, is a healthcare organization registered as a family medicine in Lufkin, Texas and active in the NPI registry since June 2013. The organization lists Angela Hafernick, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Medicine Of East Texas, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Family Medicine Of East Texas, PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Family Medicine Of East Texas, PA's NPI number?
The NPI number for Family Medicine Of East Texas, PA is 1285071977. It was assigned to this organization in the NPPES registry on June 4, 2013. The provider was formerly known as Angela Hafernick, M.D., PA.
Where is Family Medicine Of East Texas, PA located?
Family Medicine Of East Texas, PA is located at 206 Gene Samford Dr., Lufkin, TX 75904. The listed phone number is (936) 634-3396.
What is Family Medicine Of East Texas, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Family Medicine Of East Texas, PA enrolled in Medicare?
Yes. Family Medicine Of East Texas, PA is registered in the Medicare PECOS enrollment system.
When is Family Medicine Of East Texas, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Family Medicine Of East Texas, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Family Medicine Of East Texas, PA, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Family Medicine Of East Texas, PA was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Family Medicine Of East Texas, Pa · NPI 1285071977
Family Medicine organization in Lufkin, Texas. Organization record, active in the CMS NPPES registry since June 4, 2013.
## Identity
- **NPI:** 1285071977 (Entity type: Organization)
- **Enumerated:** June 4, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Angela Hafernick, PRESIDENT
## Practice location
- **Address:** 206 GENE SAMFORD DR., Lufkin, TX 75904
- **Phone:** (936) 634-3396 · **Fax:** (936) 632-7933
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1285071977) · Data from the CMS NPPES public registry.