Mario Mata, in Kirkland, WA - Medicare Nurse Practitioner

Mario Mata, is a medicare enrolled "Nurse Practitioner - Adult Health" in Kirkland, Washington. His current practice location is 10200 Ne 132nd St, Kirkland, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 821-2000.

Mario Mata is licensed to practice in Washington (license number AP60886621) 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 1053057117.

Contact Information

	Mario Mata,
	10200 Ne 132nd St, Kirkland, WA 98034-2831
	(425) 821-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mario Mata
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	10200 Ne 132nd St, Kirkland, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053057117
Provider Enumeration Date: 05/10/2022
Last Update Date: 05/10/2022

Medicare PECOS Information:

PECOS PAC ID: 6406220185
Enrollment ID: I20230320002476

Medical Identifiers

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

Identifier	Type	State	Issuer
1053057117	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	AP60886621 (Washington)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	AP60886621 (Washington)	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. Mario Mata allows following entities to bill medicare on his behalf.

Entity Name	Rejuvenation Medical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447712559 PECOS PAC ID: 4880083062 Enrollment ID: O20211109001571

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. Mario 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
Mario Mata, 19435 68th Ave S Ste S101, Kent, WA 98032-2114 Ph: (206) 407-4171	Mario Mata, 10200 Ne 132nd St, Kirkland, WA 98034-2831 Ph: (425) 821-2000

Reviews and Comments

Nurse Practitioner Nurses in Kirkland, WA

Ms. Xuemei Su, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12303 Ne 130th Ln, Ste400, Kirkland, WA 98034 Phone: 425-899-4692
Steven Kurt Reusser, ARNP, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 Kirkland Way, Kirkland, WA 98033 Phone: 206-520-5000
Salome Mosses, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034 Phone: 781-248-8996
Jessica Shdo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13718 100th Ave Ne, Kirkland, WA 98034 Phone: 425-814-4888
Ms. Melissa Ann Barclay, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13122 120th Ave Ne, Kirkland, WA 98034 Phone: 425-678-8534 Fax: 425-678-8564
Maolei Zhu, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10200 Ne 132nd St, Kirkland, WA 98034 Phone: 425-821-2000

Mario Mata, - Medicare Nurse Practitioner in Kirkland, WA