FREDERICK JOSEPH BEBEAU (P.A.) – Surgical Physician Assistant, NPI 1104894997

FREDERICK JOSEPH BEBEAU (P.A.) is a healthcare provider. based in Beaumont, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA04442 (TX). The NPI Number for FREDERICK JOSEPH BEBEAU (P.A.) is 1104894997

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
FREDERICK JOSEPH BEBEAU (P.A.)
NPI
1104894997
Phone
(409) 838-0346
Address
3650 LAUREL ST
Enumeration Date
9 March 2006
Last Update Date
6 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4092994448
Graduation Year
2004 (22 years ago)
PAC ID
4688614647
Group Practice PAC ID
8729494927
Professional Enrollment ID
I20050509001072
Address ID
TX777066861BE4310XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for FREDERICK JOSEPH BEBEAU (P.A.)

  • 3650 LAUREL ST

    BEAUMONT, TX 777072216

    Phone: (409) 838-0346

    Fax: (409) 924-4951

    Type: Mailing

  • 3460 N. DOWLEN RD

    BEAUMONT, TX 777067690

    Phone: (409) 838-0346

    Fax: (409) 839-3710

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050509001072IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg11214$0
27245Treatment of broken neck of thigh bone with bone implant4242$0
27236Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement3838$0
96372Injection of drug or substance under skin or into muscle2615$0
99214Established patient office or other outpatient visit, 30-39 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 77707)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729494927View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerLA
Nurse PractitionerTX
Sleep Medicine, Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is FREDERICK JOSEPH BEBEAU (P.A.) listed with a National Provider Identifier?
Yes — FREDERICK JOSEPH BEBEAU (P.A.) has NPI 1104894997 on file in the registry.
Active or inactive — what applies to FREDERICK JOSEPH BEBEAU (P.A.)?
You should see FREDERICK JOSEPH BEBEAU (P.A.) as active in CMS-hosted NPPES data.
How would a patient describe FREDERICK JOSEPH BEBEAU (P.A.)'s focus?
For FREDERICK JOSEPH BEBEAU (P.A.), the primary taxonomy reads as Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for FREDERICK JOSEPH BEBEAU (P.A.)?
Travel planning: use Beaumont, Texas as the reference point for FREDERICK JOSEPH BEBEAU (P.A.), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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