David Guadalupe Mata Jr, ANP in San Antonio, TX

David Guadalupe Mata Jr, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in San Antonio, Texas. His current practice location is 18707 Hardy Oak Blvd Ste 530, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 495-8280.

David Guadalupe Mata Jr is licensed to practice in Texas (license number 619179) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790129815.

Contact Information

	David Guadalupe Mata Jr, ANP
	18707 Hardy Oak Blvd Ste 530, San Antonio, TX 78258-4791
	(210) 495-8280
	(210) 481-3116

Map and Direction

Provider's Profile

Full Name	David Guadalupe Mata Jr
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	18707 Hardy Oak Blvd Ste 530, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790129815
Provider Enumeration Date: 04/19/2013
Last Update Date: 09/02/2021

Medicare PECOS Information:

PECOS PAC ID: 0749509263
Enrollment ID: I20150505002706

Medical Identifiers

Medical identifiers for David Guadalupe Mata Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790129815	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	619179 (Texas)	Primary

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. David Guadalupe Mata Jr allows following entities to bill medicare on his behalf.

Entity Name	San Antonio Advanced Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366631020 PECOS PAC ID: 5193888584 Enrollment ID: O20090112000304

Entity Name	Kidney And Primary Care Of Texas Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689209157 PECOS PAC ID: 5698104529 Enrollment ID: O20200329000108

Entity Name	Villagehealth Dm Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598273211 PECOS PAC ID: 2769812445 Enrollment ID: O20200424001045

Entity Name	Transtreme Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003290453 PECOS PAC ID: 9739574039 Enrollment ID: O20220324000212

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. David Guadalupe Mata Jr 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
David Guadalupe Mata Jr, ANP 7913 Bandera Rd, San Antonio, TX 78250-6511 Ph: (210) 698-9841	David Guadalupe Mata Jr, ANP 18707 Hardy Oak Blvd Ste 530, San Antonio, TX 78258-4791 Ph: (210) 495-8280

Reviews and Comments

Nurse Practitioner Nurses in San Antonio, TX

Mrs. Kimberly Anne Lucas Slimane, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 Spurs Ln Ste 230b, San Antonio, TX 78240 Phone: 210-690-7400 Fax: 210-690-7405
Kathleen Marie Cox, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8401 Datapoint Dr Ste 421, San Antonio, TX 78229 Phone: 210-558-1800 Fax: 800-825-8907
Ms. Amber Renee Hoberg, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7622 Louis Pasteur Dr, Ste 100, San Antonio, TX 78229 Phone: 210-614-7840 Fax: 210-562-2252
Elizabeth Marie Hernandez, RN, MSN, WHCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4503 S Zarzamora St, San Antonio, TX 78211 Phone: 210-644-8600 Fax: 210-644-8625
Elizabeth A Hallman, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7400 Merton Minter St, San Antonio, TX 78229 Phone: 210-617-5300
Carlee D Dunlap, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5107 Medical Dr, San Antonio, TX 78229 Phone: 210-614-8612 Fax: 210-692-8852
Nena Tiukinhoy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13423 Blanco Rd # 529, San Antonio, TX 78216 Phone: 908-659-8872 Fax: 877-353-9156

David Guadalupe Mata Jr, ANP - Medicare Nurse Practitioner in San Antonio, TX