Beacon Primary Care LLC
NPI 1417772849ActiveOrganization· Family Medicine· Fairlawn, OH
Family Medicine in Fairlawn, Ohio, registered in NPPES in November 2024. The authorized official on file is Jennifer L. Wurst, MD, Physician/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417772849 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2024 |
| Last updated in NPPES | Nov 20, 2024 |
| Certified by provider | Nov 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|
Other Family Medicine providers in Fairlawn
- 1366441172
- 1306970058
- 1609908318
- 1972709699
- 1427209659
- 1548685829
- 1780865139
- 1447612726
- 1134379225
- 1891763058
- 1285339192
- 1326055104