Marlen Saras Mata, OD in Grand Forks, ND - Medicare Optometrist Provider

Marlen Saras Mata, OD is a medicare enrolled "Optometrist" provider in Grand Forks, North Dakota. Her current practice location is 2900 S Columbia Rd, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (678) 316-3804.

Marlen Saras Mata is licensed to practice in North Dakota (license number 798) 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 1043887524.

Contact Information

	Marlen Saras Mata, OD
	2900 S Columbia Rd, Grand Forks, ND 58201-6070
	(678) 316-3804
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marlen Saras Mata
Gender	Female
Speciality	Optometrist
Location	2900 S Columbia Rd, Grand Forks, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043887524
Provider Enumeration Date: 06/04/2021
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 9537537345
Enrollment ID: I20221129003136

Medical Identifiers

Medical identifiers for Marlen Saras Mata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043887524	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	10351 (Texas)	Secondary
152W00000X	Optometrist	798 (North Dakota)	Primary

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. Marlen Saras Mata allows following entities to bill medicare on her behalf.

Provider Name	Lvctr Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720385263 PECOS PAC ID: 2062696669 Enrollment ID: O20110406000134

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. Marlen Saras 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
Marlen Saras Mata, OD 2900 S Columbia Rd, Grand Forks, ND 58201-6070 Ph: () -	Marlen Saras Mata, OD 2900 S Columbia Rd, Grand Forks, ND 58201-6070 Ph: (678) 316-3804

Reviews and Comments

Optometrist in Grand Forks, ND

Advanced Looks Eye Care Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2551 32nd Ave S, Grand Forks, ND 58201 Phone: 701-230-4926
Strinden Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3221 32nd Ave S, Grand Forks, ND 58201 Phone: 701-780-9701 Fax: 701-780-9084
Dr. Laura Morgan Benoit, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2200 S Washington St, Grand Forks, ND 58201 Phone: 701-775-3135
Terra L Boettcher, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 Phone: 701-732-7000
Dr. Jason Michael Schaff, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2200 S Washington St, Grand Forks, ND 58201 Phone: 701-330-5269 Fax: 701-772-8161
Advanced Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 1401 28th Ave S, Grand Forks, ND 58201 Phone: 701-757-2121 Fax: 701-757-2120

Marlen Saras Mata, OD - Medicare Optometrist in Grand Forks, ND