Velma Mata, PA-C is a
Physician Assistant based in Crystal City, Missouri. Velma Mata is licensed to practice in Missouri (license number 2001003695) and her current practice location is
Highway 61 S, Crystal City, Missouri. She can be reached at her office (for appointments etc.) via phone at
(636) 933-1000.
NPI number for Velma Mata is 1457459281 and her current mailing address is 75 Remit Drive, Lockbox 1131, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457459281.
Provider's Profile
Full Name | Velma Mata |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | Highway 61 S, Crystal City, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457459281
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 02/08/2008
Medical Identifiers
Medical identifiers for Velma Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457459281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2001003695 (Missouri) | Primary |
363A00000X | Physician Assistant | 85002144 (Illinois) | Secondary |
363A00000X | Physician Assistant | 2000166686 (Missouri) | 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. Velma 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 Address | Practice Location Address |
Velma Mata, PA-C 75 Remit Drive, Lockbox 1131, Chicago, IL 60675-1131 Ph: (866) 916-5259 | Velma Mata, PA-C Highway 61 S, Crystal City, MO 63019 Ph: (636) 933-1000 |
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