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

John Michael Blanco Mata, NP is a medicare enrolled "Nurse Practitioner" in Prescott, Arizona. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 NameJohn Michael Blanco Mata
GenderMale
SpecialityNurse Practitioner
Location3250 Gateway Blvd Ste 112, Prescott, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1639871247NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 267971 (Arizona)Secondary
363LA2200XNurse Practitioner - Adult Health 267971 (Arizona)Secondary
363LC0200XNurse Practitioner - Critical Care Medicine 267971 (Arizona)Secondary
363L00000XNurse Practitioner 267971 (Arizona)Primary
363LG0600XNurse Practitioner - Gerontology 267971 (Arizona)Secondary

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 NameNaz Hospitalists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437137072
PECOS PAC ID: 5294627816
Enrollment ID: O20040329000289
Entity NameAlaga Health Chronic Care Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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: Medicare Enrolled
Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305
Phone: 928-717-5232    Fax: 928-717-5238
Mr. Donald Lee Pierce, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
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
Nathan William Farnsworth, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 642 Dameron Dr, Prescott, AZ 86301
Phone: 928-445-5211    
Mrs. Susan Elaine Spear, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1090 Commerce Dr, Prescott, AZ 86305
Phone: 928-583-1000    Fax: 866-323-8458
Catherine A Kefer, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5430 Landmark Ln, Prescott, AZ 86301
Phone: 971-262-9600    

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.