Internal 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 Plan acceptance stays unpublished until the practice reports it.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 1538299631 · enumerated 2007-03-07 · 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, GRANGER, IN, 46530-1380 (574) 647-1820 Fax (574) 647-1821 Google Maps Apple Maps OpenStreetMap
- Practice location 7775 ANGLING RD, PORTAGE, MI, 49024-7427 (269) 324-8670 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · Primary
In this directory
Locations and evidence
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Practice location
PORTAGE, MI, 490247427
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.