| Jose Mata, | |
|
14841 179th Ave Se Ste 210, Monroe, WA 98272-1127 | |
| (360) 217-1155 | |
| (360) 217-1154 |
| Full Name | Jose Mata |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 14841 179th Ave Se Ste 210, Monroe, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346227170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00046741 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Regional Medical Center Everett | Everett, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Select Outpatient Services Inc | 4082868815 | 606 |
| Western Washington Medical Group Inc Ps | 7517870314 | 96 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Entity Name | Western Washington Medical Group Inc Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396413803 PECOS PAC ID: 7517870314 Enrollment ID: O20031107000469 |
| Entity Name | Sea Mar Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Mata, 14841 179th Ave Se Ste 210, Monroe, WA 98272-1127 Ph: (360) 217-1155 | Jose Mata, 14841 179th Ave Se Ste 210, Monroe, WA 98272-1127 Ph: (360) 217-1155 |
Dr. Rhonda Marie Bass, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19200 N Kelsey St, Monroe, WA 98272 Phone: 360-794-7994 | |
Dr. Phillip H Hassrick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19200 North Kelsey Street, Monroe, WA 98272 Phone: 425-805-4790 Fax: 425-805-4791 | |
Evan Sidney Teplow, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17707 W Main St Fl 1, Monroe, WA 98272 Phone: 360-282-3885 Fax: 605-122-0263 | |
Dr. John D Patz, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 14841 179th Ave Se, Suite 210, Monroe, WA 98272 Phone: 360-217-1155 Fax: 360-217-1154 | |
Dr. Andrew Thurman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14841 179th Ave Se Ste 210, Monroe, WA 98272 Phone: 360-217-1155 Fax: 360-217-1154 | |
Dr. Thomas W Garges, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19200 N Kelsey St, Monroe, WA 98272 Phone: 360-794-7994 | |
Dr. Ingrid Lorena Acuna-eaton, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 19200 N Kelsey St, Monroe, WA 98272 Phone: 360-794-7994 Fax: 360-805-4755 |