| Dr Jon W Ahlstrom, MD | |
|
550 E 1400 N, Suite I, Logan, UT 84341-2406 | |
| (435) 753-1545 | |
| Not Available |
| Full Name | Dr Jon W Ahlstrom |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 34 Years |
| Location | 550 E 1400 N, Logan, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437146065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | CP209732 (Oregon) | Primary |
| 207V00000X | Obstetrics & Gynecology | 49187661205 (Utah) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Logan Regional Hospital | Logan, UT | Hospital |
| Entity Name | Jon W Ahlstrom Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679847784 PECOS PAC ID: 0042462525 Enrollment ID: O20121207000290 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jon W Ahlstrom, MD 550 E 1400 N, Suite I, Logan, UT 84341-2406 Ph: (435) 753-1545 | Dr Jon W Ahlstrom, MD 550 E 1400 N, Suite I, Logan, UT 84341-2406 Ph: (435) 753-1545 |
Ernest Brett Horsley, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1920 | |
Dr. Francis Neal Mortenson, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1141 Fox Farm Rd, Logan, UT 84321 Phone: 435-753-0870 Fax: 435-753-0870 | |
Kimberly D Mcculloch, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1920 | |
James P Benedict, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1920 | |
Mrs. Anne Sadler Blackett, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1325 N 600 E, Suite 102, Logan, UT 84341 Phone: 435-753-9999 | |
David A Kirkman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1325 No 600e, #102, Logan, UT 84341 Phone: 435-753-9999 Fax: 435-753-2301 |