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Fidel Mata PA in Decatur, Illinois

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Fidel Mata PA has Physician Assistant as his primary medical specialty. Their primary office is: 1800 E Lake Shore Dr 6th Flr in Decatur, Illinois. There is an additional office location, for a total of two, for Fidel Mata PA that can be viewed further down.

They're a part of the: Prairie Cardiovascular Consultants Ltd medical group which has around 95 members. You can call their office at 217-422-6100 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, his university is not listed and graduated in 2002 (around 22 years of experience). They are not listed as doing telehealth appointments, but this may have changed. It can't hurt to call and check. If anything it may encourage them to make them available if they are not currently.


Fidel Mata PA Office Phone and Directions

Fidel Mata PA
Prairie Cardiovascular Consultants Ltd
1800 E Lake Shore Dr 6th Flr
Decatur, Illinois 62521
217-422-6100


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Phone: 217-422-6100


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Healthcare Info for Fidel Mata PA

Medical School: Sorry, his university is not listed
Graduation Year: 2002
The Primary Medical Specialty for Fidel Mata PA is listed as: Physician Assistant
Credentials: PA
Additional Credentials:
Approximate Years of Experience: 22
PAC (PECOS ID)#: 2163493156
NPI #: 1558445924
NPI Created On: 10/24/2006
NPI Last Updated Listed as: 12/20/2021
Primary Taxonomy Code: 207RC0000X
License Number:
085.002235
Listed Gender: Male

Procedures, Services, Charges


Services and Procedures include:

  1. Established patient office or other outpatient visit, typically 15 minutes
  2. Established patient office or other outpatient, visit typically 25 minutes
  3. Subsequent hospital inpatient care, typically 25 minutes per day

They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $66

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Third party is a Charity:: No

Record ID:: 788383221

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular & Metabolism

Name of Drug #1: XARELTO

Open Associated Drug #1: 50458-580-30


Payments Total: $15

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Third party is a Charity:: No

Record ID:: 788383219

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular & Metabolism

Name of Drug #1: XARELTO

Open Associated Drug #1: 50458-580-30


Payments Total: $46

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Third party is a Charity:: No

Record ID:: 788383223

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular & Metabolism

Name of Drug #1: XARELTO

Open Associated Drug #1: 50458-580-30


Payments Total: $21

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Third party is a Charity:: No

Record ID:: 788383225

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular & Metabolism

Name of Drug #1: XARELTO

Open Associated Drug #1: 50458-580-30


Payments Total: $16

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Third party is a Charity:: No

Record ID:: 788383227

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular & Metabolism

Name of Drug #1: XARELTO

Open Associated Drug #1: 50458-580-30


Payments Total: $10

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Third party is a Charity:: No

Record ID:: 788383229

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular & Metabolism

Name of Drug #1: XARELTO

Open Associated Drug #1: 50458-580-30


Payments Total: $69

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Third party is a Charity:: No

Record ID:: 788383231

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular & Metabolism

Name of Drug #1: XARELTO

Open Associated Drug #1: 50458-580-30


Payments Total: $18

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Record ID:: 768864382

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Electromedical and Electrotherapeutic Apparatus

Name of Drug #1: LifeVest


Payments Total: $12

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 814504915

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: CARDIOVASCULAR

Name of Drug #1: ENTRESTO

Open Associated Drug #1: 0078-0659-20


Payments Total: $12

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 814504917

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: CARDIOVASCULAR

Name of Drug #1: ENTRESTO

Open Associated Drug #1: 0078-0659-20


Additional Office Locations

1. Prairie Cardiovascular Consultants Ltd
619 E Mason St
Springfield, IL 62701
4p57
Group Members: 95

Phone: 217-422-6100

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Providers in Prairie Cardiovascular Consultants Ltd

1.Theodore Addai Md

422 W White St
Clinton Il 61727-2272
Prairie Cardiovascular Consultants Ltd
Cardiovascular Disease (cardiology)

2.Theodore Addai Md

1215 Franciscan Dr
Litchfield Il 62056-1778
Prairie Cardiovascular Consultants Ltd
Cardiovascular Disease (cardiology)

3.Theodore Addai Md

1800 E Lake Shore Dr 6th Flr
Decatur Il 62521-3810
Prairie Cardiovascular Consultants Ltd
Cardiovascular Disease (cardiology)

4.Theodore Addai Md

200 S Cedar St
Shelbyville Il 62565-1838
Prairie Cardiovascular Consultants Ltd
Cardiovascular Disease (cardiology)

5.Theodore Addai Md

619 E Mason St
Springfield Il 62701-1034
Prairie Cardiovascular Consultants Ltd
Cardiovascular Disease (cardiology)

6.Abdur Rahman Ahmad

619 E Mason St
Springfield Il 62701-1034
Prairie Cardiovascular Consultants Ltd
Cardiovascular Disease (cardiology)

View all 95 members of Prairie Cardiovascular Consultants Ltd medical group