Dr Rodrigo Buencamino Mata Iii, MD - Medicare Internal Medicine in Kenosha, WI

Dr Rodrigo Buencamino Mata Iii, MD is a medicare enrolled "Internal Medicine" physician in Kenosha, Wisconsin. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 6123 Green Bay Rd, Suite 120, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 652-2710.

Dr Rodrigo Buencamino Mata Iii is licensed to practice in Wisconsin (license number 33893) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033148176.

Contact Information

Dr Rodrigo Buencamino Mata Iii, MD
6123 Green Bay Rd, Suite 120,
Kenosha, WI 53142-2927
(262) 652-2710
Not Available



Physician's Profile

Full NameDr Rodrigo Buencamino Mata Iii
GenderMale
SpecialityInternal Medicine
Experience38 Years
Location6123 Green Bay Rd, Kenosha, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Rodrigo Buencamino Mata Iii graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1033148176
  • Provider Enumeration Date: 07/01/2006
  • Last Update Date: 06/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6103721766
  • Enrollment ID: I20031211000097

Medical Identifiers

Medical identifiers for Dr Rodrigo Buencamino Mata Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033148176NPI-NPPES
508901078009OtherWIBC/BS
21286100MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 33893 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kenosha VnaKenosha, WIHome health agency
Seasons Hospice Palliative CareWest allis, WIHospice
United Hospital SystemKenosha, WIHospital
Aurora Medical Center KenoshaKenosha, WIHospital

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. Dr Rodrigo Buencamino Mata Iii allows following entities to bill medicare on his behalf.
Entity NameRodrigo B Mata Iii, M.d., S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588847099
PECOS PAC ID: 9133024789
Enrollment ID: O20031205000346

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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. Dr Rodrigo Buencamino Mata Iii 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
Dr Rodrigo Buencamino Mata Iii, MD
6123 Green Bay Rd, Suite 120,
Kenosha, WI 53142-2927

Ph: (262) 652-2710
Dr Rodrigo Buencamino Mata Iii, MD
6123 Green Bay Rd, Suite 120,
Kenosha, WI 53142-2927

Ph: (262) 652-2710

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Internal Medicine Doctors in Kenosha, WI

Hanna Mariani, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6308 8th Ave, Ste 3070, Kenosha, WI 53143
Phone: 262-656-3710    Fax: 262-656-3715
Leilane U Sta Romana, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6127 Green Bay Rd, #200, Kenosha, WI 53142
Phone: 262-658-3706    Fax: 262-658-1751
Raymond W Knight, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6308 8th Ave, Ste 2000, Kenosha, WI 53143
Phone: 262-653-5300    Fax: 262-653-5412
Michael H Zeihen, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6308 8th Ave, Suite 2000, Kenosha, WI 53143
Phone: 262-653-5300    Fax: 262-653-5412
Zebi Fatima, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 10400 75th St, Kenosha, WI 53142
Phone: 262-942-5600    
Timothy A. Sanborn, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6308 8th Ave, Kenosha, WI 53143
Phone: 262-653-3650    Fax: 262-656-3672

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