| Kimberly Pistell, DO | |
|
1145 Sturgis Rd, Twentynine Palms, CA 92278 | |
| (760) 830-2190 | |
| Not Available |
| Full Name | Kimberly Pistell |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1145 Sturgis Rd, Twentynine Palms, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730612292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20A23555 (California) | Primary |
| Entity Name | Can Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265810006 PECOS PAC ID: 8820304462 Enrollment ID: O20150827002595 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Pistell, DO 1145 Sturgis Road, Twentynine Palms, CA 92278 Ph: (410) 453-7465 | Kimberly Pistell, DO 1145 Sturgis Rd, Twentynine Palms, CA 92278 Ph: (760) 830-2190 |
Ryan Snow, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1145 Sturgis Road, Twentynine Palms, CA 92278 Phone: 760-830-2117 | |
Dr. Charles Richard Nixon Ii, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital, Attn Professional Affairs, Box 788250, Twentynine Palms, CA 92278 Phone: 760-830-2194 | |
Koichi Shun Kunitake, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1145 Sturgis Rd, Twentynine Palms, CA 92278 Phone: 760-830-2722 | |
Michael Lanker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1145 Sturgis Rd, Twentynine Palms, CA 92278 Phone: 760-830-2772 |