Kristina Mata, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in New Waverly, Texas. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
9329 State Hwy 75 S., New Waverly, Texas. You can reach out to her office (for appointments etc.) via phone at
(936) 284-2055.
Kristina Mata is licensed to practice in Texas (license number AP127389) 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 1508236241.
Provider's Profile
| Full Name | Kristina Mata |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 9329 State Hwy 75 S., New Waverly, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kristina Mata graduated from nursing school in 2014
NPI Data:
- NPI Number: 1508236241
- Provider Enumeration Date: 10/06/2015
- Last Update Date: 06/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 7911209150
- Enrollment ID: I20160106000072
Medical Identifiers
Medical identifiers for Kristina Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508236241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP127389 (Texas) | Primary |
Medical Facilities Affiliation
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. Kristina Mata allows following entities to bill medicare on her behalf.
| Entity Name | Waverly Primary Care, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215557715
PECOS PAC ID: 4183046477
Enrollment ID: O20200615000575 |
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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. Kristina 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 |
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Kristina Mata, FNP-C
24 Long Horn Loop,
New Waverly, TX 77358-3735
Ph: (936) 284-2055 | Kristina Mata, FNP-C
9329 State Hwy 75 S.,
New Waverly, TX 77358
Ph: (936) 284-2055 |
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