Beacon Medical Group, Inc.
Pediatrics
Beacon Medical Group, Inc. is a South Bend, Indiana based Pediatric center with medical specialization in
General Pediatrics. Beacon Medical Group, Inc. is doing business as
Beacon Medical Group Pediatric Multi-specialty.
It is located at
100 Navarre Pl Ste 5550, South Bend, Indiana - 46601-1169. They can be contacted on phone at
574-647-2550 and fax number 574-647-1129.
NPI number (Unique professional ID) for Beacon Medical Group, Inc. is
1548415474 which was assigned by NPPES on 19 Nov, 2008 and it was last updated on 24 Apr, 2023.
Beacon Medical Group, Inc. license number is
01065535A for Pediatrics (208000000X) in Indiana.
Beacon Medical Group, Inc. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Beacon Medical Group, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Beacon Medical Group, Inc. |
|---|
| Other Name : | Beacon Medical Group Pediatric Multi-specialty |
|---|
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 : | 100 Navarre Pl Ste 5550
South Bend, IN, 46601-1169
United States |
|---|
| Phone Number : | 574-647-2550 |
|---|
| Fax Number : | 574-647-1129 |
|---|
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 : | 1548415474 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 19 Nov, 2008 |
|---|
| Last Updated On : | 24 Apr, 2023 |
|---|
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 : | Jeffreyp Costello |
|---|
| Official Title or Position : | Vice President/CFO |
|---|
| Phone Number : | 5746473549 |
|---|
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
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 01065535A | 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 |
|---|
| 200928880A | MEDICAID | IN | |
| 300069919 | MEDICAID | IN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
100 NAVARRE PL STE 5570,
SOUTH BEND, IN, 46601-1169
United States | SOUTH BEND, IN | 574-647-8610 |
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 : | 3245 Health Dr Ste 100
Granger, IN, 46530-1380
United States |
|---|
| Phone Number : | 574-647-1069 |
|---|
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.