Brian Mata, | |
322 Park Ave, Dunkirk, NY 14048-2237 | |
(716) 366-7150 | |
Not Available |
Full Name | Brian Mata |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 17 Years |
Location | 322 Park Ave, Dunkirk, New York |
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 |
---|---|---|---|
1851568307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 267991 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Willcare Chha (buffalo) | Buffalo, NY | Home health agency |
Vna Of Western Ny Chha | Williamsville, NY | Home health agency |
Upmc Chautauqua At Wca | Jamestown, NY | Hospital |
Brooks-tlc Hospital System, Inc | Dunkirk, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Great Lakes Physician Practice Pc | 6709007701 | 127 |
Entity Name | Great Lakes Physician Practice Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730599176 PECOS PAC ID: 6709007701 Enrollment ID: O20141016000108 |
Mailing Address | Practice Location Address |
---|---|
Brian Mata, 322 Park Ave, Dunkirk, NY 14048-2237 Ph: () - | Brian Mata, 322 Park Ave, Dunkirk, NY 14048-2237 Ph: (716) 366-7150 |
James Fitzgerald, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 322 Park Ave, Lakeshore Orthopedic Group Pc, Dunkirk, NY 14048 Phone: 716-366-7150 | |
Joseph Gasper Cardamone, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 322 Park Avenue, Dunkirk, NY 14048 Phone: 716-366-7150 |