Heather D Mata, FNP in Medford, OR - Medicare Nurse Practitioner

Heather D Mata, FNP is a medicare enrolled "Nurse Practitioner" in Medford, Oregon. Her current practice location is 3265 Hillcrest Park Dr, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 494-9355.

Heather D Mata is licensed to practice in Oregon (license number 10002945) 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 1932772399.

Contact Information

	Heather D Mata, FNP
	3265 Hillcrest Park Dr, Medford, OR 97504-7657
	(541) 494-9355
	Not Available

Map and Direction

Provider's Profile

Full Name	Heather D Mata
Gender	Female
Speciality	Nurse Practitioner
Location	3265 Hillcrest Park Dr, Medford, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932772399
Provider Enumeration Date: 07/22/2021
Last Update Date: 12/28/2022

Medicare PECOS Information:

PECOS PAC ID: 5496125338
Enrollment ID: I20230110001963

Medical Identifiers

Medical identifiers for Heather D Mata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932772399	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	10002945 (Oregon)	Primary
163W00000X	Registered Nurse	201241027RN (Oregon)	Secondary

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. Heather D Mata allows following entities to bill medicare on her behalf.

Entity Name	Nisha Jackson Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124499124 PECOS PAC ID: 6305147745 Enrollment ID: O20151209000878

Entity Name	Onepeak Southern Oregon Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740917558 PECOS PAC ID: 5395129670 Enrollment ID: O20220906001662

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. Heather D 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
Heather D Mata, FNP 3265 Hillcrest Park Dr, Medford, OR 97504-7657 Ph: (541) 494-9355	Heather D Mata, FNP 3265 Hillcrest Park Dr, Medford, OR 97504-7657 Ph: (541) 494-9355

Reviews and Comments

Nurse Practitioner Nurses in Medford, OR

Carla Ann Cochran, NP-C, FNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Dr., Suite 300, Medford, OR 97504 Phone: 903-463-0003
Christine Ann Stanek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2859 State Street, Suite 101, Medford, OR 97504 Phone: 541-282-6505 Fax: 541-282-6520
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Mrs. Lauren E Hodgdon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 Phone: 541-732-5537
Kaitlin Eileen Stapleton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 State St, Medford, OR 97504 Phone: 541-779-1672
Elizabeth L Pethtel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3170 State St, Medford, OR 97504 Phone: 541-864-8900 Fax: 541-245-3315
Matthew Filoon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3011 E Barnett Rd, Medford, OR 97504 Phone: 541-789-4673 Fax: 541-789-2121

Heather D Mata, FNP - Medicare Nurse Practitioner in Medford, OR