JOHN B BACCUS III

BEACON MEDICAL GROUP INC

Dr JOHN B BACCUS III is a male medical professional, specializing in Pain Management. He graduated in 1993 from University Of Texas Medical School At Houston.

Contact

BEACON MEDICAL GROUP INC

900 I ST
LA PORTE
IN
463505533

Tel: 2193241700

JOHN B BACCUS III Information

Npi 1508831157
Pac Id 4688737745
Professional Enrollment Id I20130509000538
Last Name BACCUS
First Name JOHN
Middle Name B
Suffix III
Gender M
Credential
Medical School Name UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year 1993
Primary Specialty PAIN MANAGEMENT
Secondary Specialty 1 ANESTHESIOLOGY
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties ANESTHESIOLOGY
Organization Legal Name BEACON MEDICAL GROUP INC
Group Practice Pac Id 1254243306
Number Of Group Practice Members 328
Line 1 Street Address 900 I ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LA PORTE
State IN
Zip Code 463505533
Phone Number 2193241700
Hospital Affiliation Ccn 1 150018
Hospital Affiliation Lbn 1 ELKHART GENERAL HOSPITAL
Hospital Affiliation Ccn 2 150006
Hospital Affiliation Lbn 2 LA PORTE HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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