| Beacon Medical Group, Inc. | |
|
500 Arcade Ave Ste 320 Elkhart IN 46514-2477 | |
| (574) 523-7900 | |
| Not Available |
| Full Name | Beacon Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 500 Arcade Ave Ste 320, Elkhart, Indiana |
| Authorized Official Name and Position | Jeffrey P. Costello (VP/CFO) |
| Authorized Official Contact | 5746473549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Medical Group, Inc. 3245 Health Dr Ste 100 Granger IN 46530-1380 Ph: (574) 647-3725 | Beacon Medical Group, Inc. 500 Arcade Ave Ste 320 Elkhart IN 46514-2477 Ph: (574) 523-7900 |
| NPI Number | 1821222829 |
|---|---|
| Provider Enumeration Date | 05/06/2009 |
| Last Update Date | 03/31/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821222829 | NPI | - | NPPES |
| 300070471 | Medicaid | IN | |
| 300013675 | Medicaid | IN | |
| 300068062 | Medicaid | IN | |
| 300013260 | Medicaid | IN | |
| 300068474 | Medicaid | IN | |
| 300093527 | Medicaid | IN | |
| 300013073 | Medicaid | IN | |
| 300012878 | Medicaid | IN | |
| 300128004 | Medicaid | IN |
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