Dr Mariano De La Mata, MD - Medicare Internal Medicine in Windermere, FL

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Dr Mariano De La Mata, MD is a medicare enrolled "Emergency Medicine" physician in Windermere, Florida. He went to West Virginia University School Of Medicine and graduated in 2000 and has 25 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Shi Keys Llc, Mon Health Marion Neighborhood Hospital, Inc., Monongalia County General Hospital Company and his current practice location is 13506 Summerport Village Pkwy, #341, Windermere, Florida. You can reach out to his office (for appointments etc.) via phone at (865) 406-9069.

Dr Mariano De La Mata is licensed to practice in Wyoming (license number 14898A) 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 1396841623.

Contact Information

Dr Mariano De La Mata, MD
13506 Summerport Village Pkwy, #341,
Windermere, FL 34786-7366
(865) 406-9069
Not Available

Map and Direction




Physician's Profile

Full NameDr Mariano De La Mata
GenderMale
SpecialityInternal Medicine
Experience25 Years
Location13506 Summerport Village Pkwy, Windermere, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mariano De La Mata attended and graduated from West Virginia University School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1396841623
  • Provider Enumeration Date: 09/15/2006
  • Last Update Date: 10/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6901866250
  • Enrollment ID: I20081114000456

Medical Identifiers

Medical identifiers for Dr Mariano De La Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396841623NPI-NPPES
3856126MedicaidTN
4102788OtherTNBCBS OF TENNESSEE
3943623MedicaidTN
64049224MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine ME99936 (Florida)Secondary
208000000XPediatrics ME99936 (Florida)Secondary
207R00000XInternal Medicine ME99936 (Florida)Secondary
207P00000XEmergency Medicine 14898A (Wyoming)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mon Health Medical CenterMorgantown, WVHospital
Uf Health Leesburg HospitalLeesburg, FLHospital
Mariners HospitalTavernier, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shi Keys Llc216383551315
Mon Health Marion Neighborhood Hospital, Inc.347694310115
Monongalia County General Hospital Company9638073380212

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. Dr Mariano De La Mata allows following entities to bill medicare on his behalf.
Entity NameHalifax Healthcare Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245283530
PECOS PAC ID: 1254238090
Enrollment ID: O20031218000443
Entity NameParagon Contracting Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225071459
PECOS PAC ID: 3971417825
Enrollment ID: O20041207001148
Entity NameParagon Emergency Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912101650
PECOS PAC ID: 8628153087
Enrollment ID: O20080310000143
Entity NameSmall Hospital Innovations Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184040560
PECOS PAC ID: 0840415444
Enrollment ID: O20140715000513
Entity NameShi Keys Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952903536
PECOS PAC ID: 2163835513
Enrollment ID: O20210105000345

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. Dr Mariano De La 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
Dr Mariano De La Mata, MD
Po Box 100186,
Gainesville, FL 32610-0186

Ph: (352) 265-5911		Dr Mariano De La Mata, MD
13506 Summerport Village Pkwy, #341,
Windermere, FL 34786-7366

Ph: (865) 406-9069

Reviews and Comments


Emergency Medicine Doctors in Windermere, FL

Dr. Kimberly Ann Bruno-de La Mata, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13506 Summerport Village Pkwy, #341, Windermere, FL 34786
Phone: 865-363-3330    
Dr. Brian Wiboon, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 5143 Tildens Grove Blvd, Windermere, FL 34786
Phone: 407-656-9908    Fax: 407-656-9908

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.