Beacon Medical Group, Inc.
Pediatric Hematology-Oncology
Beacon Medical Group, Inc. is a South Bend, Indiana based Pediatric center with medical specialization in
Pediatric Hematology-Oncology. Beacon Medical Group, Inc. is doing business as
Beacon Medical Group Pediatric Hematology Oncology.
It is located at
615 N Michigan St Fl 4, South Bend, Indiana - 46601-1033. They can be contacted on phone at
574-647-6892 and fax number 574-647-6895.
NPI number (Unique professional ID) for Beacon Medical Group, Inc. is
1992756696 which was assigned by NPPES on 15 May, 2006 and it was last updated on 28 Apr, 2023.
Beacon Medical Group, Inc. license number is
02001713A for Pediatrics, Pediatric Hematology-Oncology (2080P0207X) in Indiana.
Beacon Medical Group, Inc. is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Beacon Medical Group, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Hematology-Oncology |
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| Provider Name : | Beacon Medical Group, Inc. |
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| Other Name : | Beacon Medical Group Pediatric Hematology Oncology |
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Business Address:
Beacon Medical Group, Inc. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 615 N Michigan St Fl 4
South Bend, IN, 46601-1033
United States |
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| Phone Number : | 574-647-6892 |
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| Fax Number : | 574-647-6895 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1992756696 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 15 May, 2006 |
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| Last Updated On : | 28 Apr, 2023 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jeffrey Costello |
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| Official Title or Position : | CFO |
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| Phone Number : | 5746473549 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Beacon Medical Group, Inc. are as mentioned. Primary taxonomy code for Beacon Medical Group, Inc. is
2080P0207X (Pediatrics, Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | Yes | 02001713A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Beacon Medical Group, Inc. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 200510720A | MEDICAID | IN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 710 N Niles Ave
South Bend, IN, 46617-1924
United States |
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| Phone Number : | 574-647-1610 |
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Business Location:
Patients can refer following map for directions to
Beacon Medical Group, Inc. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.