Gina M Connolly
BEACON MEDICAL GROUP INC


Address: 611 E Douglas Rd, 207 Bmg N Central Neurosugery Mishawaka, Mishawaka, IN 46545-1465
Phone: 5742327227

Gina M Connolly (NPI# 1023364262, PAC ID# 2365691037) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1023364262
PAC ID by PECOS 2365691037
Professional Enrollment ID I20121012000774
Full Name Gina M Connolly
Organization Legal Name BEACON MEDICAL GROUP INC
Address 611 E Douglas Rd
207 Bmg N Central Neurosugery Mishawaka
Mishawaka
IN 46545-1465
Phone Number 5742327227
Gender F
Graduation Year 2012
Primary Specialty NURSE PRACTITIONER
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

Other Locations

Address Phone Organization
611 E Douglas Rd, 207 Bmg N Central Neurosugery Mishawaka, Mishawaka, IN 46545-1465 5742327227 BEACON MEDICAL GROUP INC
100 Navarre Pl, 6600 Bmg N Central Neurosurgery Sb, South Bend, IN 46601-1173 5746478800 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 611 E DOUGLAS RD
207 BMG N CENTRAL NEUROSUGERY MISHAWAKA
City MISHAWAKA
State IN
Zip 46545-1465

Physicians in the same location

Name Specialty Organization Address
Leah N Ortiz Family Medicine Saint Joseph Regional Medical Center South Bend Campus Inc. 611 E Douglas Rd, Mishawaka, IN 46545-1464
Charbel F Maskiny Critical Care (intensivists) Pulmonary and Critical Care Associates, PC 611 E Douglas Rd, Suite 309, Mishawaka, IN 46545-1463
Richard A Stoldt Family Medicine Saint Joseph Regional Medical Center Inc 611 E Douglas Rd, 309 Internal Medicine Associates, Mishawaka, IN 46545-1467
Juan Galvan Nurse Practitioner Saint Joseph Regional Medical Center Inc 611 E Douglas Rd, Mishawaka, IN 46545-1467
Stephen Smith Neurosurgery Beacon Medical Group Inc 611 E Douglas Rd, 207 Bmg N Central Neurosugery Mishawaka, Mishawaka, IN 46545-1465
Michele Collins Family Medicine Saint Joseph Regional Medical Center South Bend Campus Inc. 611 E Douglas Rd, 407 Family Medicine Center of Sjrmc, Mishawaka, IN 46545-1468
Ronald King Downs Plastic and Reconstructive Surgery The Centre PC 611 E Douglas Rd, Suite 108, Mishawaka, IN 46545-1464
Brett A Stephens Diagnostic Radiology Northern Indiana Magnetic Resonance Center, LLP 611 E Douglas Rd, Suite 122, Mishawaka, IN 46545-1464
Madeline Louise Ryan Physician Assistant Saint Joseph Regional Medical Center Inc 611 E Douglas Rd, Mishawaka, IN 46545-1465
David T Wyncott Family Medicine Saint Joseph Regional Medical Center South Bend Campus Inc. 611 E Douglas Rd, Mishawaka, IN 46545-1464
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Physicians in the same zip code

Name Specialty Organization Address
Marielvea A Banks Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Sean R Horner Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Rami Musleh Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Meghan M Barrus Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Ann M Grubb Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Duane M Wampler Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Eugene Huang Emergency Medicine Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Steven D Whaley Anesthesiology Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Angela Blagojevski Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Danny E Winn Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Find all physicians in zip 46545

Competitor

Search similar physicians

City MISHAWAKA
Zip Code 46545
Specialty NURSE PRACTITIONER
City + Specialty MISHAWAKA + NURSE PRACTITIONER

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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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