Beacon Medical Group Wakarusa - Primary Care in Wakarusa, IN

Beacon Medical Group Wakarusa is a primary clinic (Family Medicine) in Wakarusa, Indiana. The current practice location for Beacon Medical Group Wakarusa is 207 N Elkhart St, Wakarusa, Indiana. For appointments, you can reach them via phone at (574) 862-2165. The mailing address for Beacon Medical Group Wakarusa is 710 N Niles Ave, South Bend, Indiana and phone number is (574) 647-1610.

Beacon Medical Group Wakarusa is licensed to practice in * (Not Available) (license number ) and its NPI number is 1184641706. 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) 862-2165.

Contact Information

Beacon Medical Group Wakarusa
207 N Elkhart St
Wakarusa
IN 46573-9729
(574) 862-2165
(574) 862-4112

Primary Care Clinic Profile

Full NameBeacon Medical Group Wakarusa
SpecialityFamily Medicine
Location207 N Elkhart St, Wakarusa, 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 Wakarusa
710 N Niles Ave
South Bend
IN 46617-1924

Ph: (574) 647-1610
Beacon Medical Group Wakarusa
207 N Elkhart St
Wakarusa
IN 46573-9729

Ph: (574) 862-2165

NPI Details:

NPI Number1184641706
Provider Enumeration Date07/17/2006
Last Update Date03/04/2024

Medical Identifiers

Medical identifiers for Beacon Medical Group Wakarusa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184641706NPI-NPPES
ANTHEM BCBSOtherIN000000110760
200019030AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

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Family Medicine in Wakarusa, IN

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