| 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 |