Beacon Medical Group Bittersweet Commons | |
12340 Bittersweet Commons Blvd W Granger IN 46530-6959 | |
(574) 271-8610 | |
(574) 271-8620 |
Full Name | Beacon Medical Group Bittersweet Commons |
---|---|
Speciality | Family Medicine |
Location | 12340 Bittersweet Commons Blvd W, Granger, Indiana |
Authorized Official Name and Position | Jeffrey P Costello (CFO) |
Authorized Official Contact | 5746473549 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice 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 Number | 1003042318 |
---|---|
Provider Enumeration Date | 06/02/2009 |
Last Update Date | 04/24/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003042318 | NPI | - | NPPES |
000000631897 | Other | IN | ANTHEM |
100114000F | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Indiana) | Primary |
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Beacon Medical Group Main Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6913 N Main St Ste 300, Granger, IN 46530 Phone: 574-647-1500 Fax: 574-647-2567 | |
Michiana Hospitalist Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51265 Amesburry Way, Granger, IN 46530 Phone: 574-243-4875 Fax: 574-243-4847 | |
The Granger Village Doctor, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50740 Princess Way, Suite 600, Granger, IN 46530 Phone: 574-243-8600 Fax: 574-243-8601 | |
Engleman Clinical Staffing, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14533 Sedgwick Ct, Granger, IN 46530 Phone: 574-400-0668 Fax: 574-400-0668 | |
Renew Aesthetics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 E University Dr, Granger, IN 46530 Phone: 574-318-4148 | |
Michiana Weight Loss And Wellness Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14304 Sr 23, Granger, IN 46530 Phone: 574-217-4732 |