| Mrs Heather Lynne Mata, PA-C | |
|
3495 S 4th St, Terre Haute, IN 47802-5501 | |
| (812) 220-4755 | |
| (812) 231-4475 |
| Full Name | Mrs Heather Lynne Mata |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 3495 S 4th St, Terre Haute, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518912971 | NPI | - | NPPES |
| 0852915110 | Other | MI | BC PIN |
| 1010612 | Other | MI | MCLAREN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 10001212A (Indiana) | Primary |
| 363A00000X | Physician Assistant | 5601002771 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Heather Lynne Mata, PA-C 3495 S 4th St, Terre Haute, IN 47802-5501 Ph: (812) 220-4755 | Mrs Heather Lynne Mata, PA-C 3495 S 4th St, Terre Haute, IN 47802-5501 Ph: (812) 220-4755 |
Javanna Semma, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 567 N 5th St, Terre Haute, IN 47809 Phone: 248-308-8469 | |
Briseida Oceguera Perez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3560 S 4th St, Terre Haute, IN 47802 Phone: 812-235-8496 Fax: 812-478-1540 | |
Miss Jennifer Lynne Brooks, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1801 N 6th St Ste 600, Terre Haute, IN 47804 Phone: 812-235-4867 Fax: 812-232-8059 | |
Ashley Stakeman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2723 S 7th St Ste A, Terre Haute, IN 47802 Phone: 812-232-8164 Fax: 812-234-6391 | |
Briana Aguilar, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 640 Wabash Ave Apt 404, Terre Haute, IN 47807 Phone: 954-646-8400 | |
Srisamhita Vagdevi Ghorakavi, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6737 Clubhouse Ln, Terre Haute, IN 47809 Phone: 301-655-1614 | |
Isabella Willitzer, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 567 N 5th St, Terre Haute, IN 47809 Phone: 812-237-3632 |