Nicholas Mata, MD | |
166 Defense Hwy Ste 300, Annapolis, MD 21401-8926 | |
(443) 808-1808 | |
(443) 214-5356 |
Full Name | Nicholas Mata |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 8 Years |
Location | 166 Defense Hwy Ste 300, Annapolis, Maryland |
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 |
---|---|---|---|
1750736658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | D90988 (Maryland) | Secondary |
208100000X | Physical Medicine & Rehabilitation | D90988 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
All Star Pain Management And Regenerative Medicine, Llc | 9133400260 | 4 |
All Star Pain Management And Regenerative Medicine, Llc | 9133400260 | 4 |
Entity Name | All Star Pain Management And Regenerative Medicine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275083461 PECOS PAC ID: 9133400260 Enrollment ID: O20170104001881 |
Mailing Address | Practice Location Address |
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Nicholas Mata, MD 166 Defense Hwy Ste 300, Annapolis, MD 21401-8926 Ph: (443) 808-1808 | Nicholas Mata, MD 166 Defense Hwy Ste 300, Annapolis, MD 21401-8926 Ph: (443) 808-1808 |
Frederick Thomas Sutter, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 171 Defense Hwy, Annapolis, MD 21401 Phone: 410-224-4446 | |
William Tham, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401 Phone: 410-266-2700 Fax: 410-269-1149 | |
Dr. Jessica Herring, PT, DPT, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1911 Lincoln Dr, Annapolis, MD 21401 Phone: 410-573-1064 | |
Dr. Wai Leong Foo, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 116 Defense Hwy Ste 403, Annapolis, MD 21401 Phone: 410-571-2946 | |
Kara Hamilton, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1967 West St, Annapolis, MD 21401 Phone: 410-449-5938 | |
Dr. Charles William Simmons, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 810 Bestgate Rd Ste 220, Annapolis, MD 21401 Phone: 855-527-7246 Fax: 866-229-5063 | |
Emily A Rice, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 116 Defense Hwy Ste 101, Annapolis, MD 21401 Phone: 410-897-9399 |