| Kane Benjamin Mata, | |
|
2201 Clear Creek Rd, Killeen, TX 76549-4110 | |
| (254) 526-7523 | |
| Not Available |
| Full Name | Kane Benjamin Mata |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2201 Clear Creek Rd, Killeen, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295345304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Victoria Emergency Partners LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164770996 PECOS PAC ID: 7012165939 Enrollment ID: O20120919000322 |
| Entity Name | Longhorn Emergency Medical Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649669672 PECOS PAC ID: 4486971041 Enrollment ID: O20150320000152 |
| Entity Name | Emergency Associates of Central Texas PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215418280 PECOS PAC ID: 6800147216 Enrollment ID: O20180925001294 |
| Entity Name | Emergency Medicine Services of TX, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124 |
| Mailing Address | Practice Location Address |
|---|---|
| Kane Benjamin Mata, 1007 Wagner Ave, San Antonio, TX 78211-3131 Ph: (210) 776-9311 | Kane Benjamin Mata, 2201 Clear Creek Rd, Killeen, TX 76549-4110 Ph: (254) 526-7523 |
Katherine Elizabeth Schulz, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5702 E Central Texas Expy, Killeen, TX 76543 Phone: 254-680-7350 Fax: 254-680-7318 |
Jentry Danielle Riddle, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4204 East Stan Schleuter Loop, Killeen, TX 76542 Phone: 254-690-2800 Fax: 254-690-5401 |
Mr. Matt P. Prewitt, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2201 S Clear Creek Rd, Killeen, TX 76549 Phone: 254-519-8871 |
Mrs. Dorothy Mae Thompson, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4310 Boots Dr, Killeen, TX 76549 Phone: 254-539-6101 |
Eric Christian Mcgregor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2520 Trimmier Rd, Sutie 100, Killeen, TX 76541 Phone: 254-390-9110 |
Alvin Thomas Guerra, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3801 Scott And White Dr, Killeen, TX 76543 Phone: 254-680-1100 Fax: 254-699-3835 |
John Raymond Ernst, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4204 E Stan Schlueter Loop, Killeen, TX 76542 Phone: 916-742-3215 |