Gregg M Ebersole
BEACON MEDICAL GROUP INC


Address: 3221 Beacon Pkwy, Granger, IN 46530-7196
Phone: 5746471670

Gregg M Ebersole (NPI# 1093000366, PAC ID# 7416259940) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1093000366
PAC ID by PECOS 7416259940
Professional Enrollment ID I20180501000540
Full Name Gregg M Ebersole
Organization Legal Name BEACON MEDICAL GROUP INC
Address 3221 Beacon Pkwy
Granger
IN 46530-7196
Phone Number 5746471670
Gender M
Graduation Year 2011
Primary Specialty ORTHOPEDIC SURGERY
Group Practice PAC ID 1254243306
Number of Group Practice Members 331
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150058 MEMORIAL HOSPITAL OF SOUTH BEND
230021 LAKELAND HOSPITAL, ST JOSEPH

Other Locations

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 Information

Organization Legal Name BEACON MEDICAL GROUP INC
Physicians 364

Physicians with the same organization

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

Office Location

Street Address 3221 BEACON PKWY
City GRANGER
State IN
Zip 46530-7196

Physicians in the same location

Name Specialty Organization Address
Brett Buda Physical Therapy Beacon Health, LLC 3221 Beacon Pkwy, Suite 100, 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
Melissa Ann Demetriou Nurse Practitioner Beacon Medical Group Inc 3221 Beacon Pkwy, 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
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Physicians in the same zip code

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

Competitor

Search similar physicians

City GRANGER
Zip Code 46530
Specialty ORTHOPEDIC SURGERY
City + Specialty GRANGER + ORTHOPEDIC SURGERY

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Dataset Information

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.

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