Imelda Miranda Mata, in Chico, CA - Medicare Physician Assistant

Imelda Miranda Mata, is a medicare enrolled "Physician Assistant" in Chico, California. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Hodari Md Dermatology, Inc. and her current practice location is 80 Declaration Dr, Chico, California. You can reach out to her office (for appointments etc.) via phone at (530) 894-6832.

Imelda Miranda Mata is licensed to practice in California (license number 56624) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134731268.

Contact Information

	Imelda Miranda Mata,
	80 Declaration Dr, Chico, CA 95973-4900
	(530) 894-6832
	Not Available

Map and Direction

Provider's Profile

Full Name	Imelda Miranda Mata
Gender	Female
Speciality	Physician Assistant
Experience	7 Years
Location	80 Declaration Dr, Chico, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Imelda Miranda Mata graduated from nursing school in 2017

NPI Data:

NPI Number: 1134731268
Provider Enumeration Date: 08/19/2020
Last Update Date: 08/19/2020

Medicare PECOS Information:

PECOS PAC ID: 5597184960
Enrollment ID: I20201005000876

Medical Identifiers

Medical identifiers for Imelda Miranda Mata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134731268	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	56624 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Oroville Hospital	Oroville, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hodari Md Dermatology, Inc.	0244575827	7

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. Imelda Miranda 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
Imelda Miranda Mata, 4944 Will T Rd, Chico, CA 95973-9411 Ph: (530) 521-0291	Imelda Miranda Mata, 80 Declaration Dr, Chico, CA 95973-4900 Ph: (530) 894-6832

Reviews and Comments

Physician Assistant Nurses in Chico, CA

Bernadette Marie Connolly, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 111 Raley Blvd, Suite 140, Chico, CA 95928 Phone: 530-342-5776 Fax: 530-898-0178
Kirsten Brooke Griffin Schwab, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 95 Declaration Dr, Chico, CA 95973 Phone: 530-894-6832 Fax: 530-342-4199
Saleemah Wajeedah Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1601 Esplanade Ste 4, Chico, CA 95926 Phone: 713-792-6161
Carlos A Cuellar, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Student Health Services Csu Chico, Chico, CA 95929 Phone: 530-898-5241
Linda Pendleton, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 277 Cohasset Rd, Chico, CA 95926 Phone: 530-781-1440 Fax: 530-342-1663
Laura W. Taylor, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Independence Cir, Chico, CA 95973 Phone: 530-899-9393 Fax: 530-809-2639

Imelda Miranda Mata, - Medicare Physician Assistant in Chico, CA