Beacon Medical Group Bittersweet Commons - Primary Care in Granger, IN

Beacon Medical Group Bittersweet Commons is a primary clinic (Family Medicine) in Granger, Indiana. The current practice location for Beacon Medical Group Bittersweet Commons is 12340 Bittersweet Commons Blvd W, Granger, Indiana. For appointments, you can reach them via phone at (574) 271-8610. The mailing address for Beacon Medical Group Bittersweet Commons is 710 N Niles Ave, South Bend, Indiana and phone number is (574) 647-1610.

Beacon Medical Group Bittersweet Commons is licensed to practice in Indiana (license number ) and its NPI number is 1003042318. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (574) 271-8610.

Contact Information

Beacon Medical Group Bittersweet Commons
12340 Bittersweet Commons Blvd W
Granger
IN 46530-6959
(574) 271-8610
(574) 271-8620

Primary Care Clinic Profile

Full NameBeacon Medical Group Bittersweet Commons
SpecialityFamily Medicine
Location12340 Bittersweet Commons Blvd W, Granger, Indiana
Authorized Official Name and PositionJeffrey P Costello (CFO)
Authorized Official Contact5746473549
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Beacon Medical Group Bittersweet Commons
710 N Niles Ave
South Bend
IN 46617-1924

Ph: (574) 647-1610
Beacon Medical Group Bittersweet Commons
12340 Bittersweet Commons Blvd W
Granger
IN 46530-6959

Ph: (574) 271-8610

NPI Details:

NPI Number1003042318
Provider Enumeration Date06/02/2009
Last Update Date04/24/2023

Medical Identifiers

Medical identifiers for Beacon Medical Group Bittersweet Commons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003042318NPI-NPPES
000000631897OtherINANTHEM
100114000FMedicaidIN

Medical Taxonomies and Licenses

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

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