Ashley Renee Mata, PA - Medicare Physician Assistant in Ruby, SC

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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.

Contact Information

Ashley Renee Mata, PA
290 Market St,
Ruby, SC 29741-2900
(843) 634-6044
(843) 634-6600

Map and Direction




Provider's Profile

Full NameAshley Renee Mata
GenderFemale
SpecialityPhysician Assistant
Experience3 Years
Location290 Market St, Ruby, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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.
IdentifierTypeStateIssuer
1518647197NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 4940 (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sandhills Medical Foundation, Inc.822494982126

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. Ashley Renee Mata allows following entities to bill medicare on her behalf.
Entity NameSandhills Medical Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568541597
PECOS PAC ID: 8224949821
Enrollment ID: O20031126000326
Entity NameSandhills Medical Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922584481
PECOS PAC ID: 8224949821
Enrollment ID: O20200528000475
Entity NameSandhills Medical Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083228779
PECOS PAC ID: 8224949821
Enrollment ID: O20230104003131
Entity NameSandhills Medical Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780398461
PECOS PAC ID: 8224949821
Enrollment ID: O20240104003460

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 AddressPractice Location Address
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

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.