Joel Benjamin Dinverno, MD is a
Pediatrics physician based in Grass Lake, Michigan. Joel Benjamin Dinverno is licensed to practice in Michigan (license number 4301073676) and his current practice location is 11755 E Michigan Ave, Grass Lake, Michigan. He can be reached at his office (for appointments etc.) via phone at
(517) 522-6100.
NPI number for Joel Benjamin Dinverno is 1104865633 and his current mailing address is 11755 E Michigan Ave, Grass Lake, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104865633.
Physician's Profile
| Full Name | Joel Benjamin Dinverno |
|---|
| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 11755 E Michigan Ave, Grass Lake, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104865633
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 01/26/2009
Medical Identifiers
Medical identifiers for Joel Benjamin Dinverno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104865633 | NPI | - | NPPES |
| 3503810581 | Other | MI | BCBS |
| 104717265 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 4301073676 (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. Joel Benjamin Dinverno 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 |
Joel Benjamin Dinverno, MD 11755 E Michigan Ave, Grass Lake, MI 49240-9219 Ph: (517) 522-6100 | Joel Benjamin Dinverno, MD 11755 E Michigan Ave, Grass Lake, MI 49240-9219 Ph: (517) 522-6100 |
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