George Kent Kibler, MD | |
501 E. Locust Street, Lone Pine, CA 93545-1009 | |
(760) 876-5501 | |
(760) 876-4388 |
Full Name | George Kent Kibler |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 501 E. Locust Street, Lone Pine, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184657637 | NPI | - | NPPES |
00C371720 | Other | CA | BLUE CROSS |
00C371720 | Other | CA | BLUE SHIELD |
183283900 | Other | CA | WORKERS COMP |
770051426001 | Other | CA | TRICARE |
0205422 | Other | WA | WA WORKERS COMP |
RHM53941F | Medicaid | CA | |
C37172 | Other | CA | LICENSE |
GR0021672 | Medicaid | CA | |
002086560 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C37172 (California) | Primary |
Entity Name | Surprise Valley Health Care District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801973052 PECOS PAC ID: 1658368519 Enrollment ID: O20050407000864 |
Mailing Address | Practice Location Address |
---|---|
George Kent Kibler, MD P.o. Box 1009, Lone Pine, CA 93545-1009 Ph: (760) 876-5501 | George Kent Kibler, MD 501 E. Locust Street, Lone Pine, CA 93545-1009 Ph: (760) 876-5501 |
Dennis J Schumacher, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 East Locust Street, Lone Pine, CA 93545 Phone: 760-876-1146 Fax: 760-876-4046 | |
Milton Benjamin Jones, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 510 East Locust Street, Lone Pine, CA 93545 Phone: 760-876-1146 Fax: 760-876-4046 |