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

  1. Home
  2. Physician Assistant
  3. MO
  4. Saint Charles
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 NameMr Mark Samuel Johnson
GenderMale
SpecialityPhysician Assistant
Location300 1st Capitol Dr, Saint Charles, Missouri
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1568453132NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2010013488 (Missouri)Primary

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. Mr Mark Samuel Johnson allows following entities to bill medicare on his behalf.
Entity NameSSM Health Care St Louis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275586174
PECOS PAC ID: 7810800737
Enrollment ID: O20031118000393
Entity NameSoutheastern Emergency Physicians of Memphis LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105277
PECOS PAC ID: 5395643209
Enrollment ID: O20060711000434
Entity NameSoutheastern Emergency Services of Memphis PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164454450
PECOS PAC ID: 8921912767
Enrollment ID: O20080108000151
Entity NameCep America LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619332046
PECOS PAC ID: 6608056171
Enrollment ID: O20150312000325
Entity NameSoutheastern Physician Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20160809000235
Entity NamePost Acute Medical PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730713025
PECOS PAC ID: 5193156115
Enrollment ID: O20240723000304
Entity NameAltea Medical Missouri LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649032608
PECOS PAC ID: 0143768762
Enrollment ID: O20240814002635

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 AddressPractice 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: Accepting Medicare Assignments
Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301
Phone: 636-947-5000    
Ms. Emily Claire Hearst, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
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    
Jade Isabella Sadoff, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1475 Kisker Rd Ste 200, Saint Charles, MO 63304
Phone: 636-498-5800    
Ray Bartlett, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.