BEACON MEDICAL GROUP LAKEVILLE – NPI #1699727545
Family Medicine

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.

BEACON MEDICAL GROUP LAKEVILLE is a provider located in LAKEVILLE, IN. NPPES has assigned the NPI number 1699727545 to BEACON MEDICAL GROUP LAKEVILLE on May 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEACON MEDICAL GROUP LAKEVILLE” is a dba name, the actual legal business name for this organization is BEACON MEDICAL GROUP, INC.. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 10 years ago on Aug 29, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEACON MEDICAL GROUP LAKEVILLE below.

NPI Profile for
BEACON MEDICAL GROUP, INC.

NPI Number
1699727545
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEACON MEDICAL GROUP, INC.
Doing Business As (dba): BEACON MEDICAL GROUP LAKEVILLE
Primary location
601 NORTH MICHIGAN STREET
LAKEVILLE, IN 46536
Phone: (574) 784-8244 Fax: (574) 784-8632
Mailing address
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone: (574) 647-1610 Fax:
Organization Subpart
No
Authorized Official
JEFFREY COSTELLO
VP-CFO
Phone: (574) 647-3549
Updated
Identifiers

Identifiers for BEACON MEDICAL GROUP LAKEVILLE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN200188380A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
IN 01033081A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.