John Alexander Mata, MD - Medicare Urology in Shreveport, LA

John Alexander Mata, MD is a medicare enrolled "Urology" physician in Shreveport, Louisiana. He went to Northwestern University Feinberg Medical School and graduated in 1980 and has 44 years of diverse experience with area of expertise as Urology. He is a member of the group practice Lsu Health Sciences Center Shreveport Faculty Group Practice and his current practice location is 1501 Kings Hwy, Department Of Urology, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 813-2750.

John Alexander Mata is licensed to practice in Louisiana (license number 07036R) 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 1750309001.

Contact Information

John Alexander Mata, MD
1501 Kings Hwy, Department Of Urology,
Shreveport, LA 71103-4228
(318) 813-2750
(318) 813-2755



Physician's Profile

Full NameJohn Alexander Mata
GenderMale
SpecialityUrology
Experience44 Years
Location1501 Kings Hwy, Shreveport, Louisiana
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:
  • John Alexander Mata attended and graduated from Northwestern University Feinberg Medical School in 1980
  NPI Data:
  • NPI Number: 1750309001
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 08/20/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 5092858340
  • Enrollment ID: I20100209000035

Medical Identifiers

Medical identifiers for John Alexander Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750309001NPI-NPPES
1359629MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 07036R (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Willis Knighton Medical Center, IncShreveport, LAHospital
Ochsner Lsu Health ShreveportShreveport, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lsu Health Sciences Center Shreveport Faculty Group Practice4082902721529

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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. John Alexander Mata allows following entities to bill medicare on his behalf.
Entity NameLouisiana State University Health Sciences Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417992249
PECOS PAC ID: 6103730908
Enrollment ID: O20031208000275

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Entity NameLsu Health Sciences Center Shreveport Faculty Group Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013374222
PECOS PAC ID: 4082902721
Enrollment ID: O20161012000307

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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. John Alexander 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 AddressPractice Location Address
John Alexander Mata, MD
1501 Kings Hwy, Department Of Urology,
Shreveport, LA 71103-4228

Ph: (318) 813-2750
John Alexander Mata, MD
1501 Kings Hwy, Department Of Urology,
Shreveport, LA 71103-4228

Ph: (318) 813-2750

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Urology Doctors in Shreveport, LA

Ralph Jonathan Henderson, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 255 Bert Kouns, Shreveport, LA 71106
Phone: 318-683-0411    Fax: 318-603-5461
Dennis Dale Venable, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Kings Hwy, Department Of Urology, Shreveport, LA 71103
Phone: 318-813-2750    Fax: 318-813-2755
Alison Smith Spann, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 255 Bert Kouns Industrial Loop, Shreveport, LA 71106
Phone: 318-683-0411    Fax: 318-688-8525
Dr. Kara N Babaian, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1501 Kings Hwy, Shreveport, LA 71103
Phone: 318-675-5601    
Raymond Wendell Turner, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 9854 Jennifer Ln, Shreveport, LA 71106
Phone: 318-797-5786    
Dr. Tajammul N Fazili, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 510 E Stoner Ave, Shreveport, LA 71101
Phone: 318-221-8411    
Mrs. Ashley Sittig Baker, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 255 Bert Kouns, Shreveport, LA 71106
Phone: 318-683-0411    Fax: 318-603-5461

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