Dr Mark Stanley Wasserman, MD in Sullivan, MO - Medicare Obstetrics/gynecology

Dr Mark Stanley Wasserman, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Sullivan, Missouri. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 1984 and has 42 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Scotland Memorial Hospital, Inc and 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 Name	Dr Mark Stanley Wasserman
Gender	Male
Speciality	Obstetrics/gynecology
Experience	42 Years
Location	965 Mattox Dr, Sullivan, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mark Stanley Wasserman attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 1984

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: I20260417000402

Medical Identifiers

Medical identifiers for Dr Mark Stanley Wasserman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225130933	NPI	-	NPPES
036104995	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	R2F91 (Missouri)	Primary
207V00000X	Obstetrics & Gynecology	036104995 (Illinois)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Scotland Memorial Hospital, Inc	0648208504	264

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 Address	Practice 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: Not Enrolled in Medicare 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: Accepting Medicare Assignments Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 Fax: 573-860-6016

Dr Mark Stanley Wasserman, MD - Medicare Obstetrics/gynecology in Sullivan, MO