Ashley Renee Mata, PA is a medicare enrolled "Physician Assistant - Medical" in Ruby, South Carolina. Her current practice location is
290 Market St, Ruby, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 634-6044.
Ashley Renee Mata is licensed to practice in South Carolina (license number 4940) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518647197.
Provider's Profile
Full Name | Ashley Renee Mata |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 290 Market St, Ruby, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518647197
- Provider Enumeration Date: 07/19/2023
- Last Update Date: 07/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547623803
- Enrollment ID: I20230905000568
Medical Identifiers
Medical identifiers for Ashley Renee Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518647197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 4940 (South Carolina) | Primary |
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. Ashley Renee 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 Address | Practice Location Address |
Ashley Renee Mata, PA Po Box 366, Mc Bee, SC 29101-0366 Ph: (843) 335-8291 | Ashley Renee Mata, PA 290 Market St, Ruby, SC 29741-2900 Ph: (843) 634-6044 |
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