Dr Pascual Sevilla-moya, MD | |
11 N Maple St, Grant, MI 49327-7900 | |
(231) 834-0444 | |
(231) 834-0200 |
Full Name | Dr Pascual Sevilla-moya |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 11 N Maple St, Grant, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508801895 | NPI | - | NPPES |
8916 | Other | PR | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 43010173174 (Michigan) | Primary |
Entity Name | Phs Indian Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809765 PECOS PAC ID: 4789598731 Enrollment ID: O20031114000287 |
Mailing Address | Practice Location Address |
---|---|
Dr Pascual Sevilla-moya, MD Po Box 7, Grant, MI 49327-0007 Ph: (231) 834-0444 | Dr Pascual Sevilla-moya, MD 11 N Maple St, Grant, MI 49327-7900 Ph: (231) 834-0444 |
Jennifer Lynn Hudson, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 230 S Maple St, Grant, MI 49327 Phone: 231-834-5995 | |
Dr. Robert Gunnell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 S Maple St, Grant, MI 49327 Phone: 231-834-5995 Fax: 231-924-0248 | |
Dr. Jeffrey Dean Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11 N Maple St, Grant, MI 49327 Phone: 231-834-0444 Fax: 231-834-0200 |