Jerome Rusceak Skelly Jr. (NPI# 1396729893, PAC ID# 9638176670) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1396729893 |
| PAC ID by PECOS | 9638176670 |
| Professional Enrollment ID | I20061103000315 |
| Full Name | Jerome Rusceak Skelly Jr. |
| Organization Legal Name | BEACON MEDICAL GROUP INC |
| Address |
1815 E Ireland Rd Beacon Medical Group Ireland Road South Bend IN 46614-2845 |
| Phone Number | 5746471700 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| 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 |
| 151300 | COMMUNITY HOSPITAL OF BREMEN INC |
| 150012 | SAINT JOSEPH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1815 E Ireland Rd, Beacon Medical Group Ireland Road, South Bend, IN 46614-2845 | 5746471700 | 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 |
1815 E IRELAND RD BEACON MEDICAL GROUP IRELAND ROAD |
| City | SOUTH BEND |
| State | IN |
| Zip | 46614-2845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Springer | Family Medicine | Beacon Medical Group Inc | 1815 E Ireland Rd, Beacon Medical Group Ireland Rd, South Bend, IN 46614-2845 |
| Megan Martin | Physical Therapy | Beacon Health, LLC | 1815 E Ireland Rd, Suite 100, South Bend, IN 46614-2845 |
| Luiz C Pantalena Filho | Dermatology | Beacon Medical Group Inc | 1815 E Ireland Rd, Beacon Medical Group Ireland Rd, South Bend, IN 46614-2845 |
| Kathleen Kelley | Dermatology | Beacon Medical Group Inc | 1815 E Ireland Rd, Beacon Medical Group Ireland Rd, South Bend, IN 46614-2845 |
| Kristin C Jamison | Nurse Practitioner | Beacon Medical Group Inc | 1815 E Ireland Rd, Beacon Medical Group Ireland Rd, South Bend, IN 46614-2845 |
| Jaimee Kamp | Nurse Practitioner | Beacon Medical Group Inc | 1815 E Ireland Rd, Beacon Medical Group Ireland Rd, South Bend, IN 46614-2845 |
| Jill M Maddox | Nurse Practitioner | Beacon Medical Group Inc | 1815 E Ireland Rd, Beacon Medical Group Ireland Road, South Bend, IN 46614-2845 |
| Sarah A Martin | Physician Assistant | Beacon Medical Group Inc | 1815 E Ireland Rd, South Bend, IN 46614-2845 |
| Christen B Ramaeker | Physical Therapy | Beacon Health, LLC | 1815 E Ireland Rd, Suite 100, South Bend, IN 46614-2845 |
| Anne A Clifford | Physical Therapy | Beacon Health, LLC | 1815 E Ireland Rd, Suite 100, South Bend, IN 46614-2845 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Wieger | Podiatry | 3506 S Michigan St, South Bend, IN 46614-1728 | |
| Robert Lee | Family Medicine | The South Bend Clinic LLP | 2102 E Inwood Rd, South Bend, IN 46614-2443 |
| Natalie A Emmert | Nurse Practitioner | The South Bend Clinic LLP | 2102 E Inwood Rd, South Bend, IN 46614-2443 |
| Holly L Hake Harris | Dermatology | The South Bend Clinic LLP | 2102 E Inwood Rd, South Bend, IN 46614-2443 |
| Cynthia E Mayfield | Dermatology | The South Bend Clinic LLP | 2102 E Inwood Rd, South Bend, IN 46614-2443 |
| Jean M Bahu | Nurse Practitioner | The South Bend Clinic LLP | 2102 E Inwood Rd, South Bend, IN 46614-2443 |
| Laura E Albright | Family Medicine | The South Bend Clinic LLP | 2102 E Inwood Rd, South Bend, IN 46614-2443 |
| Julenne Henriquez-gil | Physical Therapy | Advanced Physical Therapy LLC | 202 W Ireland Rd, 101a Ati Physical Therapy, South Bend, IN 46614-2516 |
| Jane E Anderson | Physical Therapy | Advanced Physical Therapy LLC | 202 W Ireland Rd, 101a Ati Physical Therapy, South Bend, IN 46614-2516 |
| Elizabeth Marr | Physical Therapy | Advanced Physical Therapy LLC | 202 W Ireland Rd, 101a Ati Physical Therapy, South Bend, IN 46614-2516 |
| Find all physicians in zip 46614 | |||
| City | SOUTH BEND |
| Zip Code | 46614 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SOUTH BEND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jerome Rusceak Skelly Jr..
| 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.