Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alfred Marion Beasler III, MHSPA-C

Individual provider Physician Assistant · NPI 1356855456

Alfred Marion Beasler III, MHSPA-C is a Physician Assistant in Bethany, Oklahoma. Qualified in 2017, 9 years ago. Practices with St David's Ortho Neuro and Rehab PLLC, a 60-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
9
Licensed in
OK
In the registry since
2017

Practice location Address checks out

4802 N College Ave
Bethany, OK 73008-2642
Phone: (918) 645-3747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (OK)

Record details

NPI number1356855456
Entity typeIndividual (Type 1)
GenderMale
Credentials MHSPA-C
Sole proprietorNo
NPI enumeratedNovember 28, 2017
Last updated in NPPESFebruary 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St. David'S Ortho Neuro And Rehab Pllc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bethany