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 | 
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| Gender | Male | 
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| Speciality | Physician Assistant - Medical | 
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| Location | 534 Green Bay Rd, Kenilworth, Illinois | 
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
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						  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
 | 
		
		 
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