John Michael Blanco Mata, NP in Prescott, AZ - Medicare Nurse Practitioner

John Michael Blanco Mata, NP is a medicare enrolled "Nurse Practitioner" in Prescott, Arizona. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Naz Hospitalists Inc, Alaga Health Chronic Care Management Llc and his current practice location is 3250 Gateway Blvd Ste 112, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at (708) 248-0049.

John Michael Blanco Mata is licensed to practice in Arizona (license number 267971) 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 1639871247.

Contact Information

	John Michael Blanco Mata, NP
	3250 Gateway Blvd Ste 112, Prescott, AZ 86303-6856
	(708) 248-0049
	Not Available

Map and Direction

Provider's Profile

Full Name	John Michael Blanco Mata
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	3250 Gateway Blvd Ste 112, Prescott, Arizona
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:

John Michael Blanco Mata graduated from nursing school in 2022

NPI Data:

NPI Number: 1639871247
Provider Enumeration Date: 03/20/2023
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 6103209960
Enrollment ID: I20230424002100

Medical Identifiers

Medical identifiers for John Michael Blanco Mata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639871247	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	267971 (Arizona)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	267971 (Arizona)	Secondary
363LC0200X	Nurse Practitioner - Critical Care Medicine	267971 (Arizona)	Secondary
363L00000X	Nurse Practitioner	267971 (Arizona)	Primary
363LG0600X	Nurse Practitioner - Gerontology	267971 (Arizona)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Yavapai Regional Medical Center	Prescott, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Naz Hospitalists Inc	5294627816	27
Alaga Health Chronic Care Management Llc	7810330115	2

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. John Michael Blanco Mata allows following entities to bill medicare on his behalf.

Entity Name	Naz Hospitalists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437137072 PECOS PAC ID: 5294627816 Enrollment ID: O20040329000289

Entity Name	Alaga Health Chronic Care Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215631205 PECOS PAC ID: 7810330115 Enrollment ID: O20240202002725

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. John Michael Blanco 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
John Michael Blanco Mata, NP Po Box 522, Humboldt, AZ 86329-0522 Ph: (708) 248-0049	John Michael Blanco Mata, NP 3250 Gateway Blvd Ste 112, Prescott, AZ 86303-6856 Ph: (708) 248-0049

Reviews and Comments

Nurse Practitioner Nurses in Prescott, AZ

Nancy Concepcion Rosales, APRN, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305 Phone: 928-717-5232 Fax: 928-717-5238
Keri Eggers-wilt, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-445-2700
Mr. Donald Lee Pierce, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1812 N Pearl Ln, Prescott, AZ 86301 Phone: 602-526-0628
Mrs. Brenda A. Austin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3165 Stillwater Dr, Prescott, AZ 86305 Phone: 928-277-0875 Fax: 608-716-2838
Mr. Galen Francis Richmond, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-5458
Robert Wolfe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3623 Crossings Dr Ste 206, Prescott, AZ 86305 Phone: 866-849-0692
Scott Adam Gregorowicz, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 743 Miller Valley Rd, Prescott, AZ 86301 Phone: 928-777-9600 Fax: 855-449-5560

John Michael Blanco Mata, NP - Medicare Nurse Practitioner in Prescott, AZ