Mr Mark Samuel Johnson, PA-C MT ASCP in Saint Charles, MO

Mr Mark Samuel Johnson, PA-C MT ASCP is a medicare enrolled "Physician Assistant" in Saint Charles, Missouri. His current practice location is 300 1st Capitol Dr, Saint Charles, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 947-5000.

Mr Mark Samuel Johnson is licensed to practice in Missouri (license number 2010013488) 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 1568453132.

Contact Information

	Mr Mark Samuel Johnson, PA-C MT ASCP
	300 1st Capitol Dr, Saint Charles, MO 63301-2844
	(636) 947-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Mark Samuel Johnson
Gender	Male
Speciality	Physician Assistant
Location	300 1st Capitol Dr, Saint Charles, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568453132
Provider Enumeration Date: 11/02/2005
Last Update Date: 03/13/2020

Medicare PECOS Information:

PECOS PAC ID: 3476528712
Enrollment ID: I20100624000971

Medical Identifiers

Medical identifiers for Mr Mark Samuel Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568453132	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	2010013488 (Missouri)	Primary

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. Mr Mark Samuel Johnson 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
Mr Mark Samuel Johnson, PA-C MT ASCP 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698	Mr Mark Samuel Johnson, PA-C MT ASCP 300 1st Capitol Dr, Saint Charles, MO 63301-2844 Ph: (636) 947-5000

Reviews and Comments

Physician Assistant Nurses in Saint Charles, MO

Kathleen F. Christlieb, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-947-5000
Ms. Emily Claire Hearst, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3871 Mexico Rd, Dept Orthopaedic Surgery, Saint Charles, MO 63303 Phone: 314-514-3500 Fax: 314-878-7678
Hannah Madison Slater, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 725 S 5th St, Saint Charles, MO 63301 Phone: 636-294-5900
Ray Bartlett, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 723 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-577-1357 Fax: 636-447-1202
Kathleen Miles Nikodym, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 1st Capitol Dr Ste 100, Saint Charles, MO 63301 Phone: 636-332-8455
Mrs. Melanie Nicole Pilkenton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1475 Kisker Rd Ste 200, Saint Charles, MO 63304 Phone: 636-498-5810
Morgan Elizabeth Richter, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2138 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-534-4498

Mr Mark Samuel Johnson, PA-C MT ASCP - Medicare Physician Assistant in Saint Charles, MO