Mrs Michelle Renea Mata, FNP-BC in Santee, CA

Mrs Michelle Renea Mata, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Santee, California. Her current practice location is 10109 Ashdale Ln, Santee, California. You can reach out to her office (for appointments etc.) via phone at (619) 560-3454.

Mrs Michelle Renea Mata is licensed to practice in California (license number 95024337) 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 1932807112.

Contact Information

	Mrs Michelle Renea Mata, FNP-BC
	10109 Ashdale Ln, Santee, CA 92071-1635
	(619) 560-3454
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Michelle Renea Mata
Gender	Female
Speciality	Nurse Practitioner - Family
Location	10109 Ashdale Ln, Santee, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932807112
Provider Enumeration Date: 02/17/2023
Last Update Date: 02/17/2023

Medicare PECOS Information:

PECOS PAC ID: 9234594482
Enrollment ID: I20230424000920

Medical Identifiers

Medical identifiers for Mrs Michelle Renea Mata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932807112	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95024337 (California)	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. Mrs Michelle Renea Mata allows following entities to bill medicare on her behalf.

Entity Name	Arch Health Partners Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649500141 PECOS PAC ID: 9931239027 Enrollment ID: O20100616000715

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 Michelle Renea 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
Mrs Michelle Renea Mata, FNP-BC 10109 Ashdale Ln, Santee, CA 92071-1635 Ph: (619) 560-3454	Mrs Michelle Renea Mata, FNP-BC 10109 Ashdale Ln, Santee, CA 92071-1635 Ph: (619) 560-3454

Reviews and Comments

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Mrs Michelle Renea Mata, FNP-BC - Medicare Nurse Practitioner in Santee, CA