Dr Mariano De La Mata, MD | |
13506 Summerport Village Pkwy, #341, Windermere, FL 34786-7366 | |
(865) 406-9069 | |
Not Available |
Full Name | Dr Mariano De La Mata |
---|---|
Gender | Male |
Speciality | |
Experience | Years |
Location | 13506 Summerport Village Pkwy, Windermere, Florida |
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 |
---|---|---|---|
1396841623 | NPI | - | NPPES |
3856126 | Medicaid | TN | |
4102788 | Other | TN | BCBS OF TENNESSEE |
3943623 | Medicaid | TN | |
64049224 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME99936 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Mariano De La Mata, MD 1200 J D Anderson Dr, Morgantown, WV 26505-3494 Ph: (304) 598-1200 | Dr Mariano De La Mata, MD 13506 Summerport Village Pkwy, #341, Windermere, FL 34786-7366 Ph: (865) 406-9069 |
Dr. Kimberly Ann Bruno-de La Mata, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13506 Summerport Village Pkwy, #341, Windermere, FL 34786 Phone: 865-363-3330 | |
Dr. Brian Wiboon, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5143 Tildens Grove Blvd, Windermere, FL 34786 Phone: 407-656-9908 Fax: 407-656-9908 |