Scott Ahlstrom, is a medicare enrolled "Physician Assistant - Medical" in Kenilworth, Illinois. His current practice location is
534 Green Bay Rd, Kenilworth, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 256-5505.
Scott Ahlstrom is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538628938.
Provider's Profile
Full Name | Scott Ahlstrom |
---|
Gender | Male |
---|
Speciality | Physician Assistant - Medical |
---|
Location | 534 Green Bay Rd, Kenilworth, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538628938
- Provider Enumeration Date: 03/15/2019
- Last Update Date: 03/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 6608106257
- Enrollment ID: I20190924002003
Medical Identifiers
Medical identifiers for Scott Ahlstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538628938 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | 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. Scott Ahlstrom 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 |
Scott Ahlstrom, 3021 Iroquois Rd, Wilmette, IL 60091-1106 Ph: () - | Scott Ahlstrom, 534 Green Bay Rd, Kenilworth, IL 60043-1801 Ph: (847) 256-5505 |
Reviews and Comments