Beacon Medical Group Mishawaka - Primary Care in Mishawaka, IN

Beacon Medical Group Mishawaka is a primary clinic (Family Medicine) in Mishawaka, Indiana. The current practice location for Beacon Medical Group Mishawaka is 5314 Lincolnway E, Mishawaka, Indiana. For appointments, you can reach them via phone at (574) 584-2812. The mailing address for Beacon Medical Group Mishawaka is 3245 Health Dr Ste 100, Granger, Indiana and phone number is (574) 647-2129.

Beacon Medical Group Mishawaka is licensed to practice in * (Not Available) (license number ) and its NPI number is 1275550899. 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) 584-2812.

Contact Information

Beacon Medical Group Mishawaka
5314 Lincolnway E
Mishawaka
IN 46544-4249
(574) 584-2812
(574) 584-2813

Primary Care Clinic Profile

Full NameBeacon Medical Group Mishawaka
SpecialityFamily Medicine
Location5314 Lincolnway E, Mishawaka, 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 Mishawaka
3245 Health Dr Ste 100
Granger
IN 46530-1380

Ph: (574) 647-2129
Beacon Medical Group Mishawaka
5314 Lincolnway E
Mishawaka
IN 46544-4249

Ph: (574) 584-2812

NPI Details:

NPI Number1275550899
Provider Enumeration Date07/17/2006
Last Update Date03/04/2024

Medical Identifiers

Medical identifiers for Beacon Medical Group Mishawaka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275550899NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary

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