Mark Stephen Holder, PA-C is a medicare enrolled "Physician Assistant" in Manchester, Missouri. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice St Louis Pain Consultants Llc, Mercy Clinic East Communities, St Louis Pain Consultants Llc and his current practice location is
13861 Manchester Rd, Manchester, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 220-9333.
Mark Stephen Holder is licensed to practice in Missouri (license number 2020032233) 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 1659988533.
Provider's Profile
| Full Name | Mark Stephen Holder |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 13861 Manchester Rd, Manchester, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mark Stephen Holder graduated from nursing school in 2020
NPI Data:
- NPI Number: 1659988533
- Provider Enumeration Date: 09/25/2020
- Last Update Date: 09/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 1456762889
- Enrollment ID: I20240430003363
Medical Identifiers
Medical identifiers for Mark Stephen Holder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659988533 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 2020032233 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Louis Pain Consultants Llc | 2163674813 | 6 |
| Mercy Clinic East Communities | 7214827922 | 573 |
| St Louis Pain Consultants Llc | 2163674813 | 6 |
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. Mark Stephen Holder allows following entities to bill medicare on his behalf.
| Entity Name | St Louis Pain Consultants LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558611426
PECOS PAC ID: 2163674813
Enrollment ID: O20180522002042 |
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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. Mark Stephen Holder 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 |
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Mark Stephen Holder, PA-C
13861 Manchester Rd,
Manchester, MO 63011-4503
Ph: (636) 220-9333 | Mark Stephen Holder, PA-C
13861 Manchester Rd,
Manchester, MO 63011-4503
Ph: (636) 220-9333 |
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