Kenneth H Skipper, MD is a
General Practice physician based in Gladewater, Texas. Kenneth H Skipper is licensed to practice in Texas (license number F5047) and his current practice location is 1600 Broadway Ave, Gladewater, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 315-5630.
NPI number for Kenneth H Skipper is 1053316711 and his current mailing address is Po Box 4207, Longview, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053316711.
Physician's Profile
Full Name | Kenneth H Skipper |
---|
Gender | Male |
---|
Speciality | General Practice |
---|
Location | 1600 Broadway Ave, Gladewater, Texas |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053316711
- Provider Enumeration Date: 06/17/2005
- Last Update Date: 09/23/2013
Medical Identifiers
Medical identifiers for Kenneth H Skipper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053316711 | NPI | - | NPPES |
123416301 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | F5047 (Texas) | Secondary |
208D00000X | General Practice | F5047 (Texas) | 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. Kenneth H Skipper 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 |
Kenneth H Skipper, MD Po Box 4207, Longview, TX 75606-4207 Ph: (903) 315-5630 | Kenneth H Skipper, MD 1600 Broadway Ave, Gladewater, TX 75647-5040 Ph: (903) 315-5630 |
Reviews and Comments