MEDICARE: JOHN BECKENHAUER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	961	NE
2	363A00000X	Physician Assistant	961	NE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	970030785	OTHER	NE	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	37830	OTHER	NE	BCBS
4	68154A018	OTHER	NE	TRICARE

General Provider Information

NPI Number	:	1811991789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN BECKENHAUER PA-C

Provider Business Mailing Address
First Line	:	988102 NEBRASKA MEDICAL CTR
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68198-8102
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	EMILE @ 42ND ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68198-0001
Country	:	US
Telephone Number	:	402-559-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	02/09/2021

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1275219826 — DELANEY MCLANE SAUCIER
Practice Location Address:

42ND STRESS AND DEWEY AVENUE
OMAHA, NE
68198-0001

Practice Phone: 402-559-4000
Practice Fax:

1346104924 — BRIDGET SPRING STUDENT
Practice Location Address:

S 42ND & EMILE ST OMAHA
OMAHA, NE
68198-0001

Practice Phone: 402-559-4000
Practice Fax:

1467918458 — ASHLEY L BARAJAS APRN-NP
Practice Location Address:

EMILE @ 42ND ST
OMAHA, NE
68198-0001

Practice Phone: 402-559-0692
Practice Fax: 402-559-6779

1225039241 — DR. MICHAEL JOHN RICE PHD APRN-NP BC
Practice Location Address:

UNMC COLLEGE OF NURSING , 985330 NEBRASKA MEDICAL CENTER
OMAHA, NE
68198-0001

Practice Phone: 402-559-5464
Practice Fax: 402-559-7570

1669474110 — MR. PAUL D. LARSEN MD
Practice Location Address:

EMILE 42ND ST
OMAHA, NE
68198-0001

Practice Phone: 402-955-8125
Practice Fax: 402-955-8140

Directions to “ JOHN BECKENHAUER PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.