Melissa Ann Demetriou (NPI# 1225551591, PAC ID# 4082952320) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1225551591 |
| PAC ID by PECOS | 4082952320 |
| Professional Enrollment ID | I20190213000435 |
| Full Name | Melissa Ann Demetriou |
| Organization Legal Name | BEACON MEDICAL GROUP INC |
| Address |
3221 Beacon Pkwy Granger IN 46530-7196 |
| Phone Number | 5746471670 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254243306 |
| Number of Group Practice Members | 331 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150058 | MEMORIAL HOSPITAL OF SOUTH BEND |
| Address | Phone | Organization |
|---|---|---|
| 3221 Beacon Pkwy, Granger, IN 46530-7196 | 5746471670 | BEACON MEDICAL GROUP INC |
| 100 Navarre Pl, 5500 Bmg Orthopaedics and Sports Spec Nava, South Bend, IN 46601-1172 | 5746475300 | BEACON MEDICAL GROUP INC |
| Organization Legal Name | BEACON MEDICAL GROUP INC |
| Physicians | 364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nizar Fayez Olabi | Obstetrics/gynecology | Beacon Medical Group Inc | 1215 Lawn Ave, Suite 100, Elkhart, IN 46514-2450 |
| Mayank K Mittal | Interventional Cardiology | Beacon Medical Group Inc | 610 N Michigan St, 400 Bmg Adv Cardiology Specialists, South Bend, IN 46601-1081 |
| John A Whitney | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Nicholas H Kerr | Hospice/palliative Care | Beacon Medical Group Inc | 1753 Fulton St, Elkhart, IN 46514-1927 |
| Amanda L Springer | Family Medicine | Beacon Medical Group Inc | 1815 E Ireland Rd, Beacon Medical Group Ireland Rd, South Bend, IN 46614-2845 |
| Oluyinka G Osunnuga | Nurse Practitioner | Beacon Medical Group Inc | 5314 Lincolnway E, Bmg Specialties Mishawaka, Mishawaka, IN 46544-4249 |
| Lana L Evans | Nurse Practitioner | Beacon Medical Group Inc | 207 N Elkhart St, Beacon Medical Group Wakarusa, Wakarusa, IN 46573-9729 |
| Lindsey Danielle Lira | Family Medicine | Beacon Medical Group Inc | 27082 Main St, Edwardsburg, MI 49112-9334 |
| Mercedes D Moran | Certified Nurse Midwife | Beacon Medical Group Inc | 813 S Michigan St, Memorial Neighborhood Health Center, South Bend, IN 46601-3102 |
| Beth A Hayden | Nurse Practitioner | Beacon Medical Group Inc | 900 I St, La Porte, IN 46350-5533 |
| Street Address |
3221 BEACON PKWY |
| City | GRANGER |
| State | IN |
| Zip | 46530-7196 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett Buda | Physical Therapy | Beacon Health, LLC | 3221 Beacon Pkwy, Suite 100, Granger, IN 46530-7196 |
| Gregg M Ebersole | Orthopedic Surgery | Beacon Medical Group Inc | 3221 Beacon Pkwy, Granger, IN 46530-7196 |
| Brandan L Demont | Physical Therapy | Beacon Health, LLC | 3221 Beacon Pkwy, Suite 100, Granger, IN 46530-7196 |
| Dana G Brackett | Nurse Practitioner | Beacon Medical Group Inc | 3221 Beacon Pkwy, Granger, IN 46530-7196 |
| Jared Andrew Vogler | Orthopedic Surgery | Beacon Medical Group Inc | 3221 Beacon Pkwy, Granger, IN 46530-7196 |
| Randall G Brooks | Physical Therapy | Beacon Health, LLC | 3221 Beacon Pkwy, Suite 100, Granger, IN 46530-7196 |
| Fred Luster | Physical Therapy | Beacon Health, LLC | 3221 Beacon Pkwy, Suite 100, Granger, IN 46530-7196 |
| Joel Marcus Post | Orthopedic Surgery | Beacon Medical Group Inc | 3221 Beacon Pkwy, Granger, IN 46530-7196 |
| Kevin C Anderson | Orthopedic Surgery | Beacon Medical Group Inc | 3221 Beacon Pkwy, Granger, IN 46530-7196 |
| Felpur Elumba Jabian | Physical Therapy | Beacon Health, LLC | 3221 Beacon Pkwy, Suite 100, Granger, IN 46530-7196 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roni Aizigov | Certified Registered Nurse Anesthetist (crna) | Cardinal Anesthesia LLC | 5507 Singer Ct, Granger, IN 46530-4481 |
| Steven Thomas Matthiesen | Certified Registered Nurse Anesthetist (crna) | Cardinal Anesthesia LLC | 5507 Singer Ct, Granger, IN 46530-4481 |
| Emilia Kareem | Physical Therapy | Paxxon Healthcare Services LLC | 6330 N Fir Rd, Hearth At Juday Creek, Granger, IN 46530-4753 |
| Amy L Rhew | Speech Language Pathologist | Paxxon Healthcare Services LLC | 6330 N Fir Rd, Hearth At Juday Creek, Granger, IN 46530-4753 |
| Joann S Scheetz | Occupational Therapy | Paxxon Healthcare Services LLC | 6330 N Fir Rd, Hearth At Juday Creek, Granger, IN 46530-4753 |
| Christine Copeland | Physical Therapy | Paxxon Healthcare Services LLC | 6330 N Fir Rd, Granger, IN 46530-4753 |
| Laura L Labonne | Occupational Therapy | Advanced Physical Therapy LLC | 12980 Adams Rd, Suite B, Granger, IN 46530-4800 |
| Brittney Wilcher | Physical Therapy | Advanced Physical Therapy LLC | 12980 Adams Rd, Suite B, Granger, IN 46530-4800 |
| Randi Richelle Osterloo | Physical Therapy | Advanced Physical Therapy LLC | 12980 Adams Rd, Suite B, Granger, IN 46530-4800 |
| Austin N Simmons | Chiropractic | 51099 Bittersweet Rd, Suite H, Granger, IN 46530-4990 | |
| Find all physicians in zip 46530 | |||
| City | GRANGER |
| Zip Code | 46530 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRANGER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Melissa Ann Demetriou.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.