Dr Kenneth Paul Libre, MD is a medicare enrolled "Family Medicine" physician in Alta, Utah. He went to Geisel School Of Medicine At Dartmouth and graduated in 1994 and has 30 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Community Health Centers Inc and his current practice location is
10160 E Highway 210, Suite 1, Goldminer's Daughter Lodge, Alta, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 742-2273.
Dr Kenneth Paul Libre is licensed to practice in Utah (license number 328690-1205) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1801873534.
Physician's Profile
| Full Name | Dr Kenneth Paul Libre |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 30 Years |
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| Location | 10160 E Highway 210, Alta, Utah |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kenneth Paul Libre attended and graduated from Geisel School Of Medicine At Dartmouth in 1994
NPI Data:
- NPI Number: 1801873534
- Provider Enumeration Date: 12/23/2005
- Last Update Date: 12/21/2012
Medicare PECOS Information:
- PECOS PAC ID: 1557391067
- Enrollment ID: I20050815000812
Medical Identifiers
Medical identifiers for Dr Kenneth Paul Libre such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801873534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 328690-1205 (Utah) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kenneth Paul Libre allows following entities to bill medicare on his behalf.
| Entity Name | Community Health Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952505117
PECOS PAC ID: 5991698169
Enrollment ID: O20040203000767 |
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| Entity Name | Alta Medical Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740348556
PECOS PAC ID: 4385674878
Enrollment ID: O20050815000684 |
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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. Dr Kenneth Paul Libre is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Kenneth Paul Libre, MD
Po Box 8072,
Alta, UT 84092-8072
Ph: (801) 742-2273 | Dr Kenneth Paul Libre, MD
10160 E Highway 210, Suite 1, Goldminer's Daughter Lodge,
Alta, UT 84092-8072
Ph: (801) 742-2273 |
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