BEACON MEDICAL GROUP BEHAVIORAL HEALTH SOUTH BEND
NPI 1629376645
Psychiatry & Neurology - Psychiatry in South Bend, IN
About Beacon Medical Group Behavioral Health South Bend NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEACON MEDICAL GROUP BEHAVIORAL HEALTH SOUTH BEND (NPI 1629376645) is a healthcare organization registered as a psychiatry in South Bend, Indiana and active in the NPI registry since March 2011. The organization lists Jeffrey P Costello, Vp/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted 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 Behavioral Health South Bend is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
734Medicare enrollment records show 734 clinicians reassign Medicare billing to Beacon Medical Group Behavioral Health South Bend, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 365 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 45
Nearest to this location (20)
See all 734South Bend, IN 46601
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 1629376645. It was assigned to this organization in the NPPES registry on March 1, 2011. The provider is doing business as Beacon Medical Group Behavioral Health South Bend.
Where is Beacon Medical Group, Inc. located?
Beacon Medical Group, Inc. is located at 707 N Michigan St Ste 400, South Bend, IN 46601. The listed phone number is (574) 647-8470.
What is Beacon Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
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, 17 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 Cigna Healthcare 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 February 22, 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.
# Beacon Medical Group Behavioral Health South Bend · NPI 1629376645
Psychiatry organization in South Bend, Indiana. Organization record, active in the CMS NPPES registry since March 1, 2011.
## Identity
- **NPI:** 1629376645 (Entity type: Organization)
- **Enumerated:** March 1, 2011
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Legal business name:** Beacon Medical Group, Inc.
- **Organization subpart:** No
- **Authorized official:** Jeffrey Costello, VP/CFO
## Practice location
- **Address:** 707 N MICHIGAN ST STE 400, South Bend, IN 46601-1071
- **Phone:** (574) 647-8470 · **Fax:** (574) 647-8475
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 734 clinicians in 45 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (188), Family Practice (113), Certified Registered Nurse Anesthetist (CRNA) (49); 17 practice at this address and 365 within 10 miles; [full list](https://npiprofile.com/npi/1629376645/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2024
- **Other identifiers:** Medicaid 201013730A (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1629376645) · Data from the CMS NPPES public registry.