Olivia Grayce Tack, MD
Olivia Grayce Tack, MD practises Pediatric Medicine in Granger, Indiana. Graduated from Michigan State University College of Human Medicine in 2003, 23 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 23
- Trained at
- Michigan State University College of Human Medicine
- Licensed in
- IN
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
6913 N Main St Ste 200Granger, IN 46530-8039
Phone: (574) 647-4540
Fax: (574) 647-2567
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 01062281A (IN) |
|---|
Record details
| NPI number | 1255371514 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 7, 2006 |
| Last updated in NPPES | November 24, 2025 |
| Certification date | November 24, 2025 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Medical school | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduated | 2003 (23 years in practice) |
| Group practice | Beacon Medical Group Inc — 574 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Payments from drug and device companies, 2025
| Food and Beverage | $218 |
|---|
Colleagues at Beacon Medical Group Inc
- Erin Elizabeth Barth, MSN, RN, AGACNP-BC Acute Care Nurse Practitioner · South Bend, IN
- Gregory George Bingaman, NP Nurse Practitioner · South Bend, IN
- Mrs. Megan Calkins, FNP-BC Family Nurse Practitioner · South Bend, IN
- Dr. Jasmine Dhillon, MD Hospitalist Physician · South Bend, IN
- Andrea R Edmister, AUD Audiologist · South Bend, IN
- MS. Anne K. Gruber, PA-C Medical Physician Assistant · Elkhart, IN
- Samantha Lynn Jester, CNM Advanced Practice Midwife · Elkhart, IN
- Yosef Kahn, MD Cardiovascular Disease Physician · South Bend, IN
- Mrs. Kelsey Renae Namisnak, APRN, FNP-C, CPN Family Nurse Practitioner · South Bend, IN
- Jagadeesh Reddy, MD Child & Adolescent Psychiatry Physician · South Bend, IN
- Dr. Emily Rose Wright, MD Student in an Organized Health Care Education/Training Program · Cincinnati, OH
- Dr. Dale Robert Yingling, DO Obstetrics & Gynecology Physician · Temple, TX
Other providers in Granger
-
Dr. Shanna Verma Kautzmann, MD
6913 N Main St Ste 200, Granger, IN 46530-8039 · (574) 647-4540
-
Premier Pediatrics of Indiana LLC
229 Florence Ave Ste 233, Granger, IN 46530-8048 · (574) 855-4575
-
Nancy Anne Pudlo, MD
6913 N Main St Ste 200, Granger, IN 46530-8039 · (574) 647-4540
-
Quality Care Pediatrics
6910 N Main St Unit 34, Granger, IN 46530-9680 · (574) 277-7860