Mrs Heather Lynne Mata, PA-C - Physician Assistant in Terre Haute, IN

Mrs Heather Lynne Mata, PA-C is a Physician Assistant - Medical based in Terre Haute, Indiana. Mrs Heather Lynne Mata is licensed to practice in Indiana (license number 10001212A) and her current practice location is 3495 S 4th St, Terre Haute, Indiana. She can be reached at her office (for appointments etc.) via phone at (812) 220-4755.

NPI number for Mrs Heather Lynne Mata is 1518912971 and her current mailing address is 3495 S 4th St, Terre Haute, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518912971.

Contact Information

Mrs Heather Lynne Mata, PA-C
3495 S 4th St,
Terre Haute, IN 47802-5501
(812) 220-4755
(812) 231-4475

Map and Direction




Provider's Profile

Full NameMrs Heather Lynne Mata
GenderFemale
SpecialityPhysician Assistant - Medical
Location3495 S 4th St, Terre Haute, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518912971
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 04/09/2024

Medical Identifiers

Medical identifiers for Mrs Heather Lynne Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518912971NPI-NPPES
0852915110OtherMIBC PIN
1010612OtherMIMCLAREN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 10001212A (Indiana)Primary
363A00000XPhysician Assistant 5601002771 (Michigan)Secondary

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. Mrs Heather Lynne Mata is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Heather Lynne Mata, PA-C
3495 S 4th St,
Terre Haute, IN 47802-5501

Ph: (812) 220-4755
Mrs Heather Lynne Mata, PA-C
3495 S 4th St,
Terre Haute, IN 47802-5501

Ph: (812) 220-4755

Reviews and Comments


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Phone: 812-232-8164    Fax: 812-234-6391
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Phone: 812-234-0707    Fax: 812-234-3352
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Phone: 720-234-5871    

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