Nicholas Mata, MD in Annapolis, MD - Medicare Physical Medicine And Rehabilitation

Nicholas Mata, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Annapolis, Maryland. He went to Wright State University Boonshoft School Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Medstar Medical Group Ii Llc and his current practice location is 166 Defense Hwy Ste 300, Annapolis, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 808-1808.

Nicholas Mata is licensed to practice in Maryland (license number D90988) 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 1750736658.

Contact Information

	Nicholas Mata, MD
	166 Defense Hwy Ste 300, Annapolis, MD 21401-8926
	(443) 808-1808
	(443) 214-5356

Map and Direction

Physician's Profile

Full Name	Nicholas Mata
Gender	Male
Speciality	Physical Medicine And Rehabilitation
Experience	9 Years
Location	166 Defense Hwy Ste 300, Annapolis, Maryland
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:

Nicholas Mata attended and graduated from Wright State University Boonshoft School Of Medicine in 2016

NPI Data:

NPI Number: 1750736658
Provider Enumeration Date: 04/28/2016
Last Update Date: 08/03/2021

Medicare PECOS Information:

PECOS PAC ID: 0244523447
Enrollment ID: I20210429002600

Medical Identifiers

Medical identifiers for Nicholas Mata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750736658	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2081P2900X	Physical Medicine & Rehabilitation - Pain Medicine	D90988 (Maryland)	Secondary
208100000X	Physical Medicine & Rehabilitation	D90988 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medstar Union Memorial Hospital	Baltimore, MD	Hospital
Medstar Harbor Hospital	Baltimore, MD	Hospital
Medstar Good Samaritan Hospital	Baltimore, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medstar Medical Group Ii Llc	0547413825	2998

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. Nicholas Mata allows following entities to bill medicare on his behalf.

Entity Name	Medstar Medical Group Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347

Entity Name	All Star Pain Management And Regenerative Medicine, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275083461 PECOS PAC ID: 9133400260 Enrollment ID: O20170104001881

Entity Name	Medstar Medical Group Anesthesiology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528578333 PECOS PAC ID: 1052678034 Enrollment ID: O20171207001966

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. Nicholas 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
Nicholas Mata, MD 166 Defense Hwy Ste 300, Annapolis, MD 21401-8926 Ph: (443) 808-1808	Nicholas Mata, MD 166 Defense Hwy Ste 300, Annapolis, MD 21401-8926 Ph: (443) 808-1808

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Annapolis, MD

Frederick Thomas Sutter, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 171 Defense Hwy, Annapolis, MD 21401 Phone: 410-224-4446
William Tham, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401 Phone: 410-266-2700 Fax: 410-269-1149
Dr. Jessica Herring, PT, DPT, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1911 Lincoln Dr, Annapolis, MD 21401 Phone: 410-573-1064
Dr. Wai Leong Foo, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 116 Defense Hwy Ste 403, Annapolis, MD 21401 Phone: 410-571-2946
Dr. Oluseyi Adedayo Fadayomi, M.D., MSC. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 116 Defense Hwy Ste 403, Annapolis, MD 21401 Phone: 410-571-2946
Kara Hamilton, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1967 West St, Annapolis, MD 21401 Phone: 410-449-5938
Dr. Charles William Simmons, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 810 Bestgate Rd Ste 220, Annapolis, MD 21401 Phone: 855-527-7246 Fax: 866-229-5063

Nicholas Mata, MD - Medicare Physical Medicine And Rehabilitation in Annapolis, MD