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Beacon Medical Group Michigan Inc

NPI 1497709869ActiveOrganization· Family Medicine· Portage, MI

Family Medicine in Portage, Michigan, registered in NPPES in May 2006. The authorized official on file is Irene Maffetone, Manager Contracting And Payor Relat. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1497709869
StatusActive
Entity typeOrganization
NPI issuedMay 20, 2006
Last updated in NPPESOct 9, 2026
Certified by providerOct 9, 2026

Specialties and licenses

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Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MI)

Medicare sources and data years

Other Family Medicine providers in Portage

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