Haylie Ashtyn Mata, is a medicare enrolled "Nurse Practitioner - Family" in Boswell, Oklahoma. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Durant Hma Physician Management Llc and her current practice location is
50 E 2040 Rd, Boswell, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 920-5870.
Haylie Ashtyn Mata is licensed to practice in Oklahoma (license number 220582) 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 1992525976.
Provider's Profile
| Full Name | Haylie Ashtyn Mata |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 50 E 2040 Rd, Boswell, Oklahoma |
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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. |
Medical Education and Training:
- Haylie Ashtyn Mata graduated from nursing school in 2024
NPI Data:
- NPI Number: 1992525976
- Provider Enumeration Date: 10/14/2024
- Last Update Date: 10/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901335637
- Enrollment ID: I20250125000135
Medical Identifiers
Medical identifiers for Haylie Ashtyn Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992525976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 220582 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Durant Hma Physician Management Llc | 3375638976 | 21 |
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. Haylie Ashtyn Mata allows following entities to bill medicare on her behalf.
| Entity Name | Durant Hma Physician Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043361116 PECOS PAC ID: 3375638976 Enrollment ID: O20070927000304 |
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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. Haylie Ashtyn 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 |
Haylie Ashtyn Mata, 50 E 2040 Rd, Boswell, OK 74727-9385 Ph: (580) 920-5870 | Haylie Ashtyn Mata, 50 E 2040 Rd, Boswell, OK 74727-9385 Ph: (580) 920-5870 |
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