Family Medicine
ASCENSION MEDICAL GROUP PROMED
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1497709869 · enumerated 2006-05-20 · record updated 2026-10-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: IRENE MAFFETONE, Manager Contracting and Payor Relat · (574) 647-1040
Other names: BEACON MEDICAL GROUP MICHIGAN
Addresses and phones
- Mailing address 3245 HEALTH DR STE 100, STE 100, GRANGER, IN, 46530-1380 (574) 647-1820 Fax (574) 647-1821 Google Maps Apple Maps OpenStreetMap
- Practice location 7901 ANGLING RD, PORTAGE, MI, 49024-0714 (269) 552-2912 Fax (269) 552-2835 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
- Internal Medicine 207R00000X
- Internal Medicine, Cardiovascular Disease 207RC0000X
- Internal Medicine, Geriatric Medicine 207RG0300X
- Internal Medicine, Interventional Cardiology 207RI0011X
- Obstetrics & Gynecology, Gynecology 207VG0400X
- Pediatrics 208000000X
- Surgery 208600000X
- General Practice 208D00000X
- Nursing Care 251J00000X
- Nurse Practitioner, Family 363LF0000X
In this directory
Locations and evidence
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Practice location
PORTAGE, MI, 490240714
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.