| Jonathan L Kilstrom, PA-C | |
|
933 E Pierce St, Council Bluffs, IA 51503-4626 | |
| (712) 396-6111 | |
| (712) 396-7026 |
| Full Name | Jonathan L Kilstrom |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 933 E Pierce St, Council Bluffs, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740695899 | NPI | - | NPPES |
| 1740695899 | Medicaid | IA | |
| 420680355-12 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA09172 (Texas) | Secondary |
| 363A00000X | Physician Assistant | 081384 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan L Kilstrom, PA-C Po Box 2797, Omaha, NE 68103-2797 Ph: (402) 354-4230 | Jonathan L Kilstrom, PA-C 933 E Pierce St, Council Bluffs, IA 51503-4626 Ph: (712) 396-6111 |
Kayden L Reilly, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 855-524-4001 Fax: 712-325-2499 | |
Leah Abebe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 902 S 6th St, Council Bluffs, IA 51501 Phone: 712-325-1990 | |
Isabella Ann Phillips, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 412 Forest Glen Dr, Council Bluffs, IA 51503 Phone: 712-308-4459 | |
Theresa Macdissi, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Edmundson Pl Ste 306, Council Bluffs, IA 51503 Phone: 712-396-7787 Fax: 712-396-4115 | |
Sara Rygol, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2201 W Broadway, Suite 9, Council Bluffs, IA 51501 Phone: 712-328-9100 | |
Mr. Wyatt Allen Schmidt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3502 Metro Drive, Suite 200, Council Bluffs, IA 51501 Phone: 712-256-7172 Fax: 712-256-7374 | |
Jodi L Stowater-goodrich, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1288 Valley View Dr, Council Bluffs, IA 51503 Phone: 712-328-8800 Fax: 712-328-8461 |