BEACON MEDICAL GROUP, INC.
NPI 1548415474
Pediatrics in South Bend, IN
About Beacon Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEACON MEDICAL GROUP, INC. (NPI 1548415474), doing business as Beacon Medical Group Pediatric Multi-specialty, is a healthcare organization registered as a pediatrics in South Bend, Indiana and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through May 20, 2027, maintains a secondary practice location in South Bend, and lists Jeffrey P Costello, Vice President/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Other Names 2
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 15D1099816
Beacon Medical Group Pediatric Multi -Specialty · South Bend, INOther Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548415474, enumerated as an "organization" on November 19, 2008.
The provider is located at 100 NAVARRE PL STE 5550 SOUTH BEND, IN 46601 and the phone number is (574) 647-2550.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
