| Mark T Boschert, MD | |
|
145 Saint Peters Centre Blvd, Saint Peters, MO 63376-5103 | |
| (636) 896-0600 | |
| (636) 723-2000 |
| Full Name | Mark T Boschert |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 31 Years |
| Location | 145 Saint Peters Centre Blvd, Saint Peters, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558389866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 103922 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Joseph Health Center | Saint charles, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Health Care St Louis | 7810800737 | 155 |
| Renaissance Plastic Surgery Assoc Inc | 8921045212 | 2 |
| Entity Name | Ssm Health Care St Louis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
| Entity Name | Renaissance Plastic Surgery Assoc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386675874 PECOS PAC ID: 8921045212 Enrollment ID: O20050408000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark T Boschert, MD 145 Saint Peters Centre Blvd, Saint Peters, MO 63376-5103 Ph: (636) 896-0600 | Mark T Boschert, MD 145 Saint Peters Centre Blvd, Saint Peters, MO 63376-5103 Ph: (636) 896-0600 |
Brendan Alleyne, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 145 Saint Peters Centre Blvd, Saint Peters, MO 63376 Phone: 636-896-0600 Fax: 636-723-2000 | |
Stefan B Craig, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 145 Saint Peters Centre Blvd, Saint Peters, MO 63376 Phone: 636-896-0600 Fax: 636-723-2000 | |
Paul B Mills, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 145 Saint Peters Centre Blvd, Saint Peters, MO 63376 Phone: 636-896-0600 Fax: 636-723-2000 | |
Jeffrey G Copeland, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Richmond Center Ct, Saint Peters, MO 63376 Phone: 636-397-2001 Fax: 636-279-2010 |