Fidel Mata, PA - Medicare in Decatur, IL

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Fidel Mata, PA is a medicare enrolled "Physician Assistant - Medical" physician in Decatur, Illinois. His current practice location is 1770 E Lake Shore Dr Ste 105, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 422-6100.

Fidel Mata is licensed to practice in Illinois (license number 085-002235) 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 1558445924.

Contact Information

Fidel Mata, PA
1770 E Lake Shore Dr Ste 105,
Decatur, IL 62521-3800
(217) 422-6100
(833) 784-5326

Map and Direction




Physician's Profile

Full NameFidel Mata
GenderMale
Speciality
Experience Years
Location1770 E Lake Shore Dr Ste 105, Decatur, Illinois
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:
  • Fidel Mata attended and graduated from in
  NPI Data:
  • NPI Number: 1558445924
  • Provider Enumeration Date: 10/24/2006
  • Last Update Date: 12/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Fidel Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558445924NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 085.002235 (Illinois)Secondary
363AM0700XPhysician Assistant - Medical 085-002235 (Illinois)Primary

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. Fidel 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
Fidel Mata, PA
1770 E Lake Shore Dr Ste 105,
Decatur, IL 62521-3800

Ph: (217) 422-6100		Fidel Mata, PA
1770 E Lake Shore Dr Ste 105,
Decatur, IL 62521-3800

Ph: (217) 422-6100

Reviews and Comments



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.