Marlen Saras Mata, OD - Medicare Optometrist in Grand Forks, ND

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Marlen Saras Mata, OD is a medicare enrolled "Optometrist" provider in Grand Forks, North Dakota. Her current practice location is 2900 S Columbia Rd, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (678) 316-3804.

Marlen Saras Mata is licensed to practice in North Dakota (license number 798) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043887524.

Contact Information

Marlen Saras Mata, OD
2900 S Columbia Rd,
Grand Forks, ND 58201-6070
(678) 316-3804
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMarlen Saras Mata
GenderFemale
SpecialityOptometrist
Location2900 S Columbia Rd, Grand Forks, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043887524
  • Provider Enumeration Date: 06/04/2021
  • Last Update Date: 01/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9537537345
  • Enrollment ID: I20240104004872

Medical Identifiers

Medical identifiers for Marlen Saras Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043887524NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 10351 (Texas)Secondary
152W00000XOptometrist 798 (North Dakota)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. Marlen Saras Mata allows following entities to bill medicare on her behalf.
Provider NameSitterle Vision Source Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1124578208
PECOS PAC ID: 6800179458
Enrollment ID: O20170207000196
Provider NameRobison Eyecare Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1689026288
PECOS PAC ID: 0648553693
Enrollment ID: O20170216002524

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. Marlen Saras 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 AddressPractice Location Address
Marlen Saras Mata, OD
2900 S Columbia Rd,
Grand Forks, ND 58201-6070

Ph: () -		Marlen Saras Mata, OD
2900 S Columbia Rd,
Grand Forks, ND 58201-6070

Ph: (678) 316-3804

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.