Dr Wilmer Neptali Mata, MD - Medicare General Surgery in Miami, FL

Dr Wilmer Neptali Mata, MD is a medicare enrolled "Surgery" physician in Miami, Florida. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Baptist Health Medical Group Physicians Llc and his current practice location is 15955 Sw 96th St Ste 102, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (786) 467-3435.

Dr Wilmer Neptali Mata is licensed to practice in Florida (license number ME134812) 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 1104168509.

Contact Information

Dr Wilmer Neptali Mata, MD
15955 Sw 96th St Ste 102,
Miami, FL 33196
(786) 467-3435
(786) 533-9383

Map and Direction




Physician's Profile

Full NameDr Wilmer Neptali Mata
GenderMale
SpecialityGeneral Surgery
Experience16 Years
Location15955 Sw 96th St Ste 102, Miami, Florida
Accepts Medicare AssignmentsYes. 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 Wilmer Neptali Mata graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1104168509
  • Provider Enumeration Date: 03/23/2013
  • Last Update Date: 07/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5698066298
  • Enrollment ID: I20190808002570

Medical Identifiers

Medical identifiers for Dr Wilmer Neptali Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104168509NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery ME134812 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Hospital Of MiamiMiami, FLHospital
West Kendall Baptist HospitalMiami, FLHospital
Doctors HospitalCoral gables, FLHospital
South Miami HospitalSouth miami, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Health Medical Group Physicians Llc3870696933522

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 Wilmer Neptali Mata allows following entities to bill medicare on his behalf.
Entity NameBaptist Health Medical Group Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891893343
PECOS PAC ID: 3870696933
Enrollment ID: O20070309000135

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 Wilmer Neptali Mata 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
Dr Wilmer Neptali Mata, MD
Po Box 198054,
Atlanta, GA 30384-8054

Ph: () -
Dr Wilmer Neptali Mata, MD
15955 Sw 96th St Ste 102,
Miami, FL 33196

Ph: (786) 467-3435

Reviews and Comments


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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.