Dr Rodrigo Buencamino Mata Iii, MD in Kenosha, WI

Dr Rodrigo Buencamino Mata Iii, MD is a medicare enrolled "Internal Medicine" physician in Kenosha, Wisconsin. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 6123 Green Bay Rd, Suite 120, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 652-2710.

Dr Rodrigo Buencamino Mata Iii is licensed to practice in Wisconsin (license number 33893) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033148176.

Contact Information

	Dr Rodrigo Buencamino Mata Iii, MD
	6123 Green Bay Rd, Suite 120, Kenosha, WI 53142-2927
	(262) 652-2710
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Rodrigo Buencamino Mata Iii
Gender	Male
Speciality	Internal Medicine
Experience	38 Years
Location	6123 Green Bay Rd, Kenosha, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Rodrigo Buencamino Mata Iii graduated from medical school in 1986

NPI Data:

NPI Number: 1033148176
Provider Enumeration Date: 07/01/2006
Last Update Date: 06/03/2020

Medicare PECOS Information:

PECOS PAC ID: 6103721766
Enrollment ID: I20031211000097

Medical Identifiers

Medical identifiers for Dr Rodrigo Buencamino Mata Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033148176	NPI	-	NPPES
508901078009	Other	WI	BC/BS
21286100	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	33893 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kenosha Vna	Kenosha, WI	Home health agency
Seasons Hospice Palliative Care	West allis, WI	Hospice
United Hospital System	Kenosha, WI	Hospital
Brookside Care Center	Kenosha, WI	Nursing home

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. Dr Rodrigo Buencamino Mata Iii allows following entities to bill medicare on his behalf.

Entity Name	Rodrigo B Mata Iii, M.d., S.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588847099 PECOS PAC ID: 9133024789 Enrollment ID: O20031205000346

Entity Name	Vital Signs Wellness, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528538600 PECOS PAC ID: 4183958978 Enrollment ID: O20240530003609

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. Dr Rodrigo Buencamino Mata Iii 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
Dr Rodrigo Buencamino Mata Iii, MD 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142-2927 Ph: (262) 652-2710	Dr Rodrigo Buencamino Mata Iii, MD 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142-2927 Ph: (262) 652-2710

Reviews and Comments

Internal Medicine Doctors in Kenosha, WI

Hanna Mariani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Ste 3070, Kenosha, WI 53143 Phone: 262-656-3710 Fax: 262-656-3715
Leilane U Sta Romana, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd, #200, Kenosha, WI 53142 Phone: 262-658-3706 Fax: 262-658-1751
Raymond W Knight, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Ste 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412
Michael H Zeihen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Suite 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412
Zebi Fatima, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-942-5600
Timothy A. Sanborn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-653-3650 Fax: 262-656-3672

Dr Rodrigo Buencamino Mata Iii, MD - Medicare Internal Medicine in Kenosha, WI