Ashley Renee Mata, PA is a medicare enrolled "Physician Assistant - Medical" in Ruby, South Carolina. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Sandhills Medical Foundation, Inc. and her current practice location is
290 Market St, Ruby, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 634-6044.
Ashley Renee Mata is licensed to practice in South Carolina (license number 4940) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518647197.
Provider's Profile
| Full Name | Ashley Renee Mata |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 290 Market St, Ruby, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ashley Renee Mata graduated from nursing school in 2023
NPI Data:
- NPI Number: 1518647197
- Provider Enumeration Date: 07/19/2023
- Last Update Date: 07/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547623803
- Enrollment ID: I20230905000568
Medical Identifiers
Medical identifiers for Ashley Renee Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518647197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 4940 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sandhills Medical Foundation, Inc. | 8224949821 | 25 |
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. Ashley Renee 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 |
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Ashley Renee Mata, PA
Po Box 366,
Mc Bee, SC 29101-0366
Ph: (843) 335-8291 | Ashley Renee Mata, PA
290 Market St,
Ruby, SC 29741-2900
Ph: (843) 634-6044 |
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