BEACON MEDICAL GROUP BREMEN
NPI 1942781109
Family Medicine in Bremen, IN
About Beacon Medical Group Bremen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEACON MEDICAL GROUP BREMEN (NPI 1942781109) is a healthcare organization registered as a family medicine in Bremen, Indiana and active in the NPI registry since August 2018. The organization holds a CLIA Microscopy certificate valid through July 26, 2027, maintains a secondary practice location in Bremen, and lists Jeffrey P. Costello, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 2
Secondary Practice Location 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 Bremen 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 Bremen, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 16 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 734Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 for Provider-Performed Microscopy Procedures (PPMP) 15D2099363
Beacon Medical Group Bremen · Bremen, INFrequently 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 1942781109. It was assigned to this organization in the NPPES registry on August 27, 2018. The provider is doing business as Beacon Medical Group Bremen and Beacon Medical Group Bremen South Street.
Where is Beacon Medical Group Inc located?
Beacon Medical Group Inc is located at 1144 W Plymouth St, Bremen, IN 46506. The listed phone number is (574) 546-5363.
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, 6 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Beacon Medical Group Inc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D2099363) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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 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 Bremen · NPI 1942781109
Family Medicine organization in Bremen, Indiana. Organization record, active in the CMS NPPES registry since August 27, 2018.
## Identity
- **NPI:** 1942781109 (Entity type: Organization)
- **Enumerated:** August 27, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Beacon Medical Group Inc
- **Also known as:** Beacon Medical Group Bremen South Street (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jeffrey Costello, CFO
## Practice location
- **Address:** 1144 W PLYMOUTH ST, Bremen, IN 46506-1842
- **Phone:** (574) 546-5363 · **Fax:** (574) 546-2575
## 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); 6 practice at this address and 16 within 10 miles; [full list](https://npiprofile.com/npi/1942781109/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942781109) · Data from the CMS NPPES public registry.