Beacon Medical Group Portage Road - Primary Care in South Bend, IN

Beacon Medical Group Portage Road is a primary clinic (Family Medicine) in South Bend, Indiana. The current practice location for Beacon Medical Group Portage Road is 3575 Portage Ave, South Bend, Indiana. For appointments, you can reach them via phone at (574) 647-4530. The mailing address for Beacon Medical Group Portage Road is 53842 Generations Dr, South Bend, Indiana and phone number is () -.

Beacon Medical Group Portage Road is licensed to practice in Indiana (license number 01054535A) and its NPI number is 1568413359. 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) 647-4530.

Contact Information

Beacon Medical Group Portage Road
3575 Portage Ave
South Bend
IN 46628-6092
(574) 647-4530
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameBeacon Medical Group Portage Road
SpecialityFamily Medicine
Location3575 Portage Ave, South Bend, Indiana
Authorized Official Name and PositionJeffrey Costello (VP-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 Portage Road
53842 Generations Dr
South Bend
IN 46635-1543

Ph: () -
Beacon Medical Group Portage Road
3575 Portage Ave
South Bend
IN 46628-6092

Ph: (574) 647-4530

NPI Details:

NPI Number1568413359
Provider Enumeration Date05/15/2006
Last Update Date09/27/2013

Medical Identifiers

Medical identifiers for Beacon Medical Group Portage Road such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568413359NPI-NPPES
100092700BMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01054535A (Indiana)Primary

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.