Brian Mata, is a medicare enrolled "Orthopaedic Surgery" physician in Dunkirk, New York. He went to Duke University School Of Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Great Lakes Physician Practice Pc and his current practice location is
322 Park Ave, Dunkirk, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 366-7150.
Brian Mata is licensed to practice in New York (license number 267991) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851568307.
Physician's Profile
| Full Name | Brian Mata |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 18 Years |
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| Location | 322 Park Ave, Dunkirk, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Brian Mata attended and graduated from Duke University School Of Medicine in 2007
NPI Data:
- NPI Number: 1851568307
- Provider Enumeration Date: 05/14/2008
- Last Update Date: 01/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486895521
- Enrollment ID: I20130801000189
Medical Identifiers
Medical identifiers for Brian Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851568307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207X00000X | Orthopaedic Surgery | 267991 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Great Lakes Physician Practice Pc | 6709007701 | 131 |
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. Brian Mata allows following entities to bill medicare on his behalf.
| Entity Name | Great Lakes Physician Practice Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730599176 PECOS PAC ID: 6709007701 Enrollment ID: O20141016000108 |
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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. Brian 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 |
Brian Mata, 322 Park Ave, Dunkirk, NY 14048-2237 Ph: () - | Brian Mata, 322 Park Ave, Dunkirk, NY 14048-2237 Ph: (716) 366-7150 |
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