Dr Mark T Klucka, DO in Alton, IL - Medicare Family Practice

Dr Mark T Klucka, DO is a medicare enrolled "Family Medicine" physician in Alton, Illinois. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 1983 and has 43 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fairview Heights Medical Group Sc and his current practice location is 4 Memorial Dr Ste 230, Alton, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 463-7874.

Dr Mark T Klucka is licensed to practice in Illinois (license number 036077227) 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 1801902432.

Contact Information

	Dr Mark T Klucka, DO
	4 Memorial Dr Ste 230, Alton, IL 62002-6704
	(618) 463-7874
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mark T Klucka
Gender	Male
Speciality	Family Practice
Experience	43 Years
Location	4 Memorial Dr Ste 230, Alton, Illinois
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 T Klucka attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 1983

NPI Data:

NPI Number: 1801902432
Provider Enumeration Date: 08/23/2006
Last Update Date: 09/19/2025

Medicare PECOS Information:

PECOS PAC ID: 3678608353
Enrollment ID: I20240917002110

Medical Identifiers

Medical identifiers for Dr Mark T Klucka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801902432	NPI	-	NPPES
036077227	Medicaid	IL
100013015	Other	IL	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036077227 (Illinois)	Primary
207RG0100X	Internal Medicine - Gastroenterology	036.077227 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alton Memorial Hospital	Alton, IL	Hospital
Memorial Hospital	Belleville, IL	Hospital
Christian Hospital Northeast	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairview Heights Medical Group Sc	6800784083	386

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 T Klucka allows following entities to bill medicare on his behalf.

Entity Name	Fairview Heights Medical Group Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650

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 T Klucka 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 T Klucka, DO Po Box 959203, Saint Louis, MO 63195-1281 Ph: (618) 463-7874	Dr Mark T Klucka, DO 4 Memorial Dr Ste 230, Alton, IL 62002-6704 Ph: (618) 463-7874

Reviews and Comments

Family Medicine Doctors in Alton, IL

Dr. Juletta Avagyan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216
Dr. Bryan Everett Steele, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-463-5905 Fax: 618-463-5935
Puja Gurung, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002 Phone: 618-433-6616
Mr. William P Robinson Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 815 E 5th Street, Suite 209, Alton, IL 62002 Phone: 618-463-0561 Fax: 618-465-9281
Dr. Anne Ugabi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311
Dr. Danny Sarwat Shehata, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311
Dr. Kamaal Abdul-raheem Hicks, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2 Memorial Dr Ste 220, Alton, IL 62002 Phone: 618-474-1723 Fax: 618-433-6299

Dr Mark T Klucka, DO - Medicare Family Practice in Alton, IL