Dyllan Tiburzi, - Medicare Family Practice in South Bend, IN

Dyllan Tiburzi, is a medicare enrolled "Family Medicine" physician in South Bend, Indiana. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Beacon Medical Group Inc and his current practice location is 2235 Cleveland Rd, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-4530.

Dyllan Tiburzi is licensed to practice in Indiana (license number 01085663A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326536095.

Contact Information

Dyllan Tiburzi,
2235 Cleveland Rd,
South Bend, IN 46628-3529
(574) 647-4530
(574) 647-2285



Physician's Profile

Full NameDyllan Tiburzi
GenderMale
SpecialityFamily Practice
Experience6 Years
Location2235 Cleveland Rd, South Bend, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dyllan Tiburzi attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2018
  NPI Data:
  • NPI Number: 1326536095
  • Provider Enumeration Date: 04/27/2018
  • Last Update Date: 10/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143584391
  • Enrollment ID: I20210524001610

Medical Identifiers

Medical identifiers for Dyllan Tiburzi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326536095NPI-NPPES
300014050MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01085663A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital Of South BendSouth bend, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beacon Medical Group Inc1254243306452

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dyllan Tiburzi allows following entities to bill medicare on his behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dyllan Tiburzi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dyllan Tiburzi,
3245 Health Dr Ste 100,
Granger, IN 46530-1380

Ph: (574) 647-2129
Dyllan Tiburzi,
2235 Cleveland Rd,
South Bend, IN 46628-3529

Ph: (574) 647-4530

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Family Medicine Doctors in South Bend, IN

Dr. Jon Andrew Shull, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1708 High St, South Bend, IN 46613
Phone: 574-647-1400    Fax: 574-237-6663
Louis Cavadini, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 211 N Eddy St, South Bend, IN 46617
Phone: 574-237-9395    Fax: 574-204-6345
Dale Alan Patterson, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 714 N Michigan St, South Bend, IN 46601
Phone: 574-647-7477    
Dr. Nicholas Harold Kerr, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601
Phone: 574-647-3050    Fax: 574-647-1094
Dr. Curtis L Gongwer, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4440 North Portage Avenue, South Bend, IN 46628
Phone: 574-204-6200    Fax: 574-288-1426
Robert Hays, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 17321 State Road 23, South Bend, IN 46635
Phone: 574-335-8400    Fax: 574-335-0796
Matthew T. Dupre, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 714 N Michigan St, South Bend, IN 46601
Phone: 574-647-7477    Fax: 574-647-3655

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