Jill Kolstad, MED is a
Specialist based in Fort Worth, Texas. Jill Kolstad is licensed to practice in Texas (license number 495743) and her current practice location is
6205 Fallow Ct, Fort Worth, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 724-9985.
NPI number for Jill Kolstad is 1790042596 and her current mailing address is 6205 Fallow Ct, Fort Worth, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790042596.
Healthcare Provider's Profile
Full Name | Jill Kolstad |
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Gender | Female |
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Speciality | Specialist |
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Location | 6205 Fallow Ct, Fort Worth, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790042596
- Provider Enumeration Date: 04/18/2012
- Last Update Date: 04/18/2012
Medical Identifiers
Medical identifiers for Jill Kolstad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790042596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 495743 (Texas) | Secondary |
174400000X | Specialist | 495743 (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. Jill Kolstad 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 |
Jill Kolstad, MED 6205 Fallow Ct, Fort Worth, TX 76132-3544 Ph: (903) 724-9985 | Jill Kolstad, MED 6205 Fallow Ct, Fort Worth, TX 76132-3544 Ph: (903) 724-9985 |
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