| Jason Daniel Thornburg, PA-C | |
|
400 Ovesen Dr, Wilton, IA 52778-9612 | |
| (563) 732-2121 | |
| (563) 732-4232 |
| Full Name | Jason Daniel Thornburg |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 400 Ovesen Dr, Wilton, Iowa |
| 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 |
|---|---|---|---|
| 1770838534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 002312 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Unity Point At Home | Moline, IL | Home health agency |
| Trinity Muscatine | Muscatine, IA | Hospital |
| Trinity Bettendorf | Bettendorf, IA | Hospital |
| Trinity Rock Island | Rock island, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Unity Healthcare | 8224931548 | 65 |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Entity Name | Unity Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629122742 PECOS PAC ID: 8224931548 Enrollment ID: O20040202000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Daniel Thornburg, PA-C 400 Ovesen Dr, Wilton, IA 52778-9612 Ph: (563) 732-2121 | Jason Daniel Thornburg, PA-C 400 Ovesen Dr, Wilton, IA 52778-9612 Ph: (563) 732-2121 |
James Blouse, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 Oveson Dr, Wilton, IA 52778 Phone: 563-732-2121 |