Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mason Frederick Beaudry, PA-C

Individual provider Physician Assistant · NPI 1396303301

Mason Frederick Beaudry, PA-C is a Physician Assistant in Batavia, New York. Qualified in 2019, 7 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

127 N St
Batavia, NY 14020
Phone: (585) 343-6030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 140 Hillcrest Medical Blvd Ste 2, Waco, TX 76712-8897 — (254) 741-1400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA12948 (TX)

Record details

NPI number1396303301
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 4, 2019
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing address100 Kings Highway South, Rochester, NY 14617-5504

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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