Mr Andrew Thomas Clark, PA - Medicare Physician Assistant in Chesterfield, MO

Mr Andrew Thomas Clark, PA is a medicare enrolled "Physician Assistant" in Chesterfield, Missouri. His current practice location is 15740 S Outer 40 Rd, Chesterfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 735-4268.

Mr Andrew Thomas Clark is licensed to practice in Missouri (license number 2013001474) 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 1497008254.

Contact Information

Mr Andrew Thomas Clark, PA
15740 S Outer 40 Rd,
Chesterfield, MO 63017
(636) 735-4268
Not Available



Provider's Profile

Full NameMr Andrew Thomas Clark
GenderMale
SpecialityPhysician Assistant
Location15740 S Outer 40 Rd, Chesterfield, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497008254
  • Provider Enumeration Date: 10/17/2012
  • Last Update Date: 05/14/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3779728209
  • Enrollment ID: I20130403000515

Medical Identifiers

Medical identifiers for Mr Andrew Thomas Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497008254NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2013001474 (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 Andrew Thomas Clark 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 Andrew Thomas Clark, PA
15740 S Outer 40 Rd,
Chesterfield, MO 63017-2004

Ph: (636) 735-4268
Mr Andrew Thomas Clark, PA
15740 S Outer 40 Rd,
Chesterfield, MO 63017

Ph: (636) 735-4268

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› Verified 6 days ago


Physician Assistant Nurses in Chesterfield, MO

Raquel K Russo, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 17300 N Outer 40 Rd Ste 201, Chesterfield, MO 63005
Phone: 636-778-2900    Fax: 636-778-2828
Delaney Kathleen Dick, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 111 Saint Lukes Center Dr Bldg B, Chesterfield, MO 63017
Phone: 314-205-1926    
Alexandra Graham, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 121 Saint Lukes Center Dr Ste 305, Chesterfield, MO 63017
Phone: 314-205-1926    
Emily Visonnavong,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 226 S Woods Mill Rd Ste 35, Chesterfield, MO 63017
Phone: 314-548-6860    Fax: 314-548-6866
Mrs. Deborah E Wagner, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1001 Chesterfield Pkwy E, Suite 101, Chesterfield, MO 63017
Phone: 314-878-3839    Fax: 314-878-6575
Mrs. Virginia Ahrens, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017
Phone: 314-267-6667    
Donna Marie Sinibaldi, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1001 Chesterfield Pkwy E, Suite 101, Chesterfield, MO 63017
Phone: 314-878-3839    Fax: 314-878-6575

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