Marina Matta, PHYSICIAN ASSISTANT in Grosse Pointe Farms, MI

Marina Matta, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Grosse Pointe Farms, Michigan. Her current practice location is 17108 Mack Ave Ste 108, Grosse Pointe Farms, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 723-2572.

Marina Matta is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053953273.

Contact Information

	Marina Matta, PHYSICIAN ASSISTANT
	17108 Mack Ave Ste 108, Grosse Pointe Farms, MI 48230-6224
	(313) 723-2572
	Not Available

Map and Direction

Provider's Profile

Full Name	Marina Matta
Gender	Female
Speciality	Physician Assistant
Location	17108 Mack Ave Ste 108, Grosse Pointe Farms, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053953273
Provider Enumeration Date: 10/09/2019
Last Update Date: 02/17/2026

Medicare PECOS Information:

PECOS PAC ID: 7618372806
Enrollment ID: I20210826001318

Medical Identifiers

Medical identifiers for Marina Matta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053953273	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

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. Marina Matta 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
Marina Matta, PHYSICIAN ASSISTANT 17108 Mack Ave Ste 108, Grosse Pointe Farms, MI 48230-6224 Ph: (313) 723-2572	Marina Matta, PHYSICIAN ASSISTANT 17108 Mack Ave Ste 108, Grosse Pointe Farms, MI 48230-6224 Ph: (313) 723-2572

Reviews and Comments

Physician Assistant Nurses in Grosse Pointe Farms, MI

Ms. Debra E Evola, P.A.-C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 131 Kercheval, Pierson Clinic, Grosse Pointe Farms, MI 48230 Phone: 313-882-7900
Raleigh D Eckert, PA, MSPH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18700 Mack Ave, Grosse Pointe Farms, MI 48236 Phone: 313-925-3486
Karen Andrea Matron, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236 Phone: 313-640-2300

Marina Matta, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Grosse Pointe Farms, MI