BEACON DOWAGIAC INC
NPI 1194717504
Clinic/Center - Rural Health in Dowagiac, MI
About Beacon Dowagiac Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEACON DOWAGIAC INC (NPI 1194717504), doing business as Beacon Dowagiac, is a healthcare organization registered as a rural health in Dowagiac, Michigan and active in the NPI registry since August 2005. The organization maintains a secondary practice location in Dowagiac and lists Irene Maffetone, Manager Contracting And Payor Relat, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beacon Dowagiac Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
37Medicare enrollment records show 37 clinicians reassign Medicare billing to Beacon Dowagiac Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 37Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Beacon Dowagiac Inc's NPI number?
The NPI number for Beacon Dowagiac Inc is 1194717504. It was assigned to this organization in the NPPES registry on August 22, 2005. The provider is doing business as Beacon Dowagiac and Borgess Lee Medical Group.
Where is Beacon Dowagiac Inc located?
Beacon Dowagiac Inc is located at 420 W High St, Dowagiac, MI 49047. The listed phone number is (269) 783-3052.
What is Beacon Dowagiac Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Beacon Dowagiac Inc enrolled in Medicare?
Yes. Beacon Dowagiac Inc is registered in the Medicare PECOS enrollment system.
When is Beacon Dowagiac Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Beacon Dowagiac Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 37 clinicians in 10 Medicare specialties reassign their Medicare billing to Beacon Dowagiac Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (13), Cardiovascular Disease (Cardiology) (4) and Family Practice (4). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Beacon Dowagiac Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Beacon Dowagiac Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Beacon Dowagiac Inc was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Beacon Dowagiac Inc · NPI 1194717504
Rural Health organization in Dowagiac, Michigan. Organization record, active in the CMS NPPES registry since August 22, 2005.
## Identity
- **NPI:** 1194717504 (Entity type: Organization)
- **Enumerated:** August 22, 2005
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Beacon Dowagiac (Doing Business As); Borgess Lee Medical Group (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Irene Maffetone, MANAGER CONTRACTING AND PAYOR RELAT
## Practice location
- **Address:** 420 W HIGH ST, Dowagiac, MI 49047-1943
- **Phone:** (269) 783-3052
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 37 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Cardiovascular Disease (Cardiology) (4), Family Practice (4); 1 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1194717504/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2026
- **Other identifiers:** Medicaid 1194717504 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1194717504) · Data from the CMS NPPES public registry.