| Beacon Medical Group Pediatric Multi-specialty | |
|
100 Navarre Pl Ste 5550 South Bend IN 46601-1169 | |
| (574) 647-2550 | |
| (574) 647-1129 |
| Full Name | Beacon Medical Group Pediatric Multi-specialty |
|---|---|
| Speciality | Pediatrics |
| Location | 100 Navarre Pl Ste 5550, South Bend, Indiana |
| Authorized Official Name and Position | Jeffrey P Costello (VICE PRESIDENT/CFO) |
| Authorized Official Contact | 5746473549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Medical Group Pediatric Multi-specialty 3245 Health Dr Ste 100 Granger IN 46530-1380 Ph: (574) 647-1069 | Beacon Medical Group Pediatric Multi-specialty 100 Navarre Pl Ste 5550 South Bend IN 46601-1169 Ph: (574) 647-2550 |
| NPI Number | 1548415474 |
|---|---|
| Provider Enumeration Date | 11/19/2008 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548415474 | NPI | - | NPPES |
| 200928880A | Medicaid | IN | |
| 300069919 | Medicaid | IN |
National Youth Advocate Program, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3631 Edison Rd, South Bend, IN 46615 Phone: 800-270-3756 Fax: 219-293-8604 | |
Stepwise Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2012 Ironwood Cir, South Bend, IN 46635 Phone: 574-273-2743 Fax: 574-273-2746 | |
Infinity Behavioral Systems Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1318 Mishawaka Ave, South Bend, IN 46615 Phone: 574-204-2935 Fax: 574-387-4794 | |
Reflections Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2955 Mckinley Ave, Suite C, South Bend, IN 46615 Phone: 574-222-2466 Fax: 574-222-2468 | |
Family Foundations, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17566 Fleetwood Ln, South Bend, IN 46635 Phone: 574-271-0121 | |
A Mills Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Hildebrand St, South Bend, IN 46614 Phone: 574-261-2416 Fax: 574-807-9616 | |
River Valley Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Dixieway North, Suite 200, South Bend, IN 46637 Phone: 574-272-7700 Fax: 574-272-7800 |