Dr Mark Stanley Wasserman, MD - Medicare Obstetrics & Gynecology in Sullivan, MO

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Dr Mark Stanley Wasserman, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Sullivan, Missouri. His current practice location is 965 Mattox Dr, Sullivan, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 860-6000.

Dr Mark Stanley Wasserman is licensed to practice in Missouri (license number R2F91) 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 1225130933.

Contact Information

Dr Mark Stanley Wasserman, MD
965 Mattox Dr,
Sullivan, MO 63080-2365
(573) 860-6000
(573) 860-6016

Map and Direction




Physician's Profile

Full NameDr Mark Stanley Wasserman
GenderMale
SpecialityObstetrics & Gynecology
Location965 Mattox Dr, Sullivan, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225130933
  • Provider Enumeration Date: 09/02/2006
  • Last Update Date: 09/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2163411133
  • Enrollment ID: I20040506001315

Medical Identifiers

Medical identifiers for Dr Mark Stanley Wasserman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225130933NPI-NPPES
036104995MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology R2F91 (Missouri)Primary
207V00000XObstetrics & Gynecology 036104995 (Illinois)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark Stanley Wasserman allows following entities to bill medicare on his behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Dr Mark Stanley Wasserman 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 AddressPractice Location Address
Dr Mark Stanley Wasserman, MD
Po Box 959318,
Saint Louis, MO 63195-9318

Ph: (573) 756-6751		Dr Mark Stanley Wasserman, MD
965 Mattox Dr,
Sullivan, MO 63080-2365

Ph: (573) 860-6000

Reviews and Comments


Obstetrics & Gynecology Doctors in Sullivan, MO

Dr. Roger J. Rembecki, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 965 Mattox Dr, Sullivan, MO 63080
Phone: 573-860-6000    Fax: 573-860-6016
Yasuo Ishida, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 102 Progress Pkwy # A, Sullivan, MO 63080
Phone: 573-468-6011    Fax: 573-468-7868
Dr. Joseph B Shumway, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 965 Mattox Dr, Sullivan, MO 63080
Phone: 573-860-6000    Fax: 573-860-6016

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.