Lino Sevandal Dial Jr, DO is a
Family Medicine physician based in Mt. Pleasant, Michigan. Lino Sevandal Dial Jr is licensed to practice in Michigan (license number 5101014103) and his current practice location is 1101 S. Mission Street, Mt. Pleasant, Michigan. He can be reached at his office (for appointments etc.) via phone at
(989) 773-9700.
NPI number for Lino Sevandal Dial Jr is 1245228568 and his current mailing address is 5511 West U.s. Highway 10, Ludington, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245228568.
Physician's Profile
| Full Name | Lino Sevandal Dial Jr |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1101 S. Mission Street, Mt. Pleasant, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245228568
- Provider Enumeration Date: 10/11/2005
- Last Update Date: 06/22/2011
Medical Identifiers
Medical identifiers for Lino Sevandal Dial Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245228568 | NPI | - | NPPES |
| 0N85680 | Other | MI | MEDICARE GROUP |
| 1245228568 | Medicaid | MI | |
| 700E310160 | Other | MI | BCBS GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 5101014103 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lino Sevandal Dial Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lino Sevandal Dial Jr, DO
5511 West U.s. Highway 10,
Ludington, MI 49431
Ph: (231) 843-1553 | Lino Sevandal Dial Jr, DO
1101 S. Mission Street,
Mt. Pleasant, MI 48858
Ph: (989) 773-9700 |
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