Lance A Beahm, PA-C
Physician Assistant in Bastrop, TX. Individual provider (NPI-1).
NPI number1912239690
StatusActive
Last updated in NPPESOct 30, 2025
Details
- NPI
- 1912239690
- Entity type
- Individual (NPI-1)
- Name
- Lance A Beahm
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2010
- Certification date
- Oct 30, 2025
- Last updated
- Oct 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA16658 | TX | Yes |
Practice location
1106 College St Ste CBastrop, TX 78602-3948
Phone 512-244-4272 · Fax 512-244-2895
Mailing address
101 W Louis Henna Blvd Ste 300Austin, TX 78728-1203
Phone 512-244-4272 · Fax 512-244-2895
Other practice locations
2000 S Mays St Ste 201
Round Rock, TX 78664-7580
Round Rock, TX 78664-7580
Phone 512-244-4272 · Fax 512-244-2895
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 19 Physician Assistant providers in Bastrop · All 552 providers in Bastrop
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