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BEACON MEDICAL GROUP E. BLAIR WARNER
NPI 1609828946
Family Medicine in South Bend, IN

Active since May 16, 2006
714 N MICHIGAN ST, SOUTH BEND, IN 46601(574) 647-7477(574) 647-3655 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2024, Aug 29, 2016, Feb 5, 2016 (3 updates tracked since 2016).

About Beacon Medical Group E. Blair Warner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON MEDICAL GROUP E. BLAIR WARNER (NPI 1609828946) is a healthcare organization registered as a family medicine in South Bend, Indiana and active in the NPI registry since May 2006. The organization lists Jeffrey Costello, Vp-cfo, as its authorized official.

NPPES Registry Identity

NPI1609828946
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address714 N MICHIGAN STSouth Bend, IN 46601-1035
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Phone(574) 647-7477
Fax(574) 647-3655
Organization SubpartNo
Authorized OfficialJeffrey CostelloVp-cfo · (574) 647-3549
Enumeration DateMay 16, 2006
Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1609828946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01034518A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
714 N MICHIGAN ST, South Bend, IN 46601
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Other Names 1

Doing Business AsBeacon Medical Group E. Blair Warner

Other Identifiers 1

Medicaid100092670BIN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beacon Medical Group E. Blair Warner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

734

Medicare enrollment records show 734 clinicians reassign Medicare billing to Beacon Medical Group E. Blair Warner, which bills Medicare for the services they deliver. Of these, 26 practice at this address and 365 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Nurse Practitioner188
Family Practice113
Certified Registered Nurse Anesthetist (CRNA)49
Obstetrics/Gynecology49
Internal Medicine42
Neurology29
Pediatric Medicine28
Psychiatry21
37 other specialties215

Nearest to this location (20)

See all 734
Kenneth Elek, M.D.
Family Practice
NPI 1912995267
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOS✔ Accepts MedicareSame address
Jason Marker, M.D.
Family Practice
NPI 1215936968
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7913
✔ PECOS✔ Accepts MedicareSame address
Gabriela Romo
Family Practice
NPI 1316676505
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOS✔ Accepts MedicareSame address
Ashley Williamson, DO
Family Practice
NPI 1992434831
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOS✔ Accepts MedicareSame address
Tucker Balam, DO
Family Practice
NPI 1861652463
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOS✔ Accepts MedicareSame address
Kristyn Beaver, NP
Nurse Practitioner
NPI 1861150955
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOS✔ Accepts MedicareSame address
Katharine Callaghan, MD
Family Practice
NPI 1902330046
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOS✔ Accepts MedicareSame address
Jennifer Carter, MSW, LCSW
Clinical Social Worker
NPI 1275847196
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOSSame address
Janel Charlton, MD
Family Practice
NPI 1770711145
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOS✔ Accepts MedicareSame address
Matthew Dupre, MD
Family Practice
NPI 1043570369
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOS✔ Accepts MedicareSame address
Edward Durbin, MD
Obstetrics/Gynecology
NPI 1194715581
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOSSame address
Alberta Henderson, M.D.
Family Practice
NPI 1477541654
714 N MICHIGAN ST
South Bend, IN 46601
(574) 284-7477
✔ PECOSSame address
Matthew Jackson
Clinical Psychologist
NPI 1952794570
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOS✔ Accepts MedicareSame address
Kristine Jennings, MD
Family Practice
NPI 1194011775
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOS✔ Accepts MedicareSame address
Marion Mahone, MD
Family Practice
NPI 1891016770
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7913
✔ PECOS✔ Accepts MedicareSame address
Paul Misch, MD
Family Practice
NPI 1942277876
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOS✔ Accepts MedicareSame address
Gerald Morris, MD
Family Practice
NPI 1508187352
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7913
✔ PECOS✔ Accepts MedicareSame address
Gregory Pouliot, PHD
Clinical Psychologist
NPI 1336549328
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOS✔ Accepts MedicareSame address
Jacqueline Albiez-Dobransky, NP
Nurse Practitioner
NPI 1447928007
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS✔ Accepts MedicareSame address
Wendi Ciesielska, APRN
Nurse Practitioner
NPI 1063166585
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS✔ Accepts MedicareSame address
See all 734 clinicians

Source: 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 Medical Group, Inc.'s NPI number?

The NPI number for Beacon Medical Group, Inc. is 1609828946. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Beacon Medical Group E. Blair Warner.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 714 N Michigan St, South Bend, IN 46601. The listed phone number is (574) 647-7477.

What is Beacon Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Beacon Medical Group, Inc. enrolled in Medicare?

Yes. Beacon Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beacon Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 734 clinicians in 45 Medicare specialties reassign their Medicare billing to Beacon Medical Group, 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 (188), Family Practice (113) and Certified Registered Nurse Anesthetist (CRNA) (49). Of these, 26 practice at this address and 365 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Beacon Medical Group, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Beacon Medical Group, 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 Medical Group, Inc. was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.