Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alejandro Mikelonis, PA-C

Individual provider Physician Assistant · NPI 1801300330

Alejandro Mikelonis, PA-C is a Physician Assistant in South Bend, Indiana. Qualified in 2017, 9 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

610 N Michigan St Ste 306
South Bend, IN 46601-1079
Phone: (574) 647-6500
Fax: (574) 647-6518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 615 N Michigan St, South Bend, IN 46601-1033 — (574) 647-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10002386A (IN)

Record details

NPI number1801300330
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 20, 2017
Last updated in NPPESDecember 21, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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