Mario J Gaspar De Alba, MD in Las Vegas, NV

Mario J Gaspar De Alba, MD is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" physician in Las Vegas, Nevada. His current practice location is 630 S Rancho Dr Ste A, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 998-9505.

Mario J Gaspar De Alba is licensed to practice in Nevada (license number 14554) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275546590.

Contact Information

	Mario J Gaspar De Alba, MD
	630 S Rancho Dr Ste A, Las Vegas, NV 89106-4849
	(702) 998-9505
	(702) 527-7939

Map and Direction

Physician's Profile

Full Name	Mario J Gaspar De Alba
Gender	Male
Speciality	Pediatrics - Developmental - Behavioral Pediatrics
Location	630 S Rancho Dr Ste A, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275546590
Provider Enumeration Date: 08/15/2006
Last Update Date: 06/02/2020

Medicare PECOS Information:

PECOS PAC ID: 7214001478
Enrollment ID: I20130117000208

Medical Identifiers

Medical identifiers for Mario J Gaspar De Alba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275546590	NPI	-	NPPES
1275546590	Medicaid	NV
178999201	Medicaid	TX
GW226Z	Other	NV	MEDICARE
8H0437	Other	TX	BC/BS OF TEXAS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	M3232 (Texas)	Secondary
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	14554 (Nevada)	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. Mario J Gaspar De Alba allows following entities to bill medicare on his behalf.

Entity Name	Renown Medical School Associates North Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992842660 PECOS PAC ID: 2860305695 Enrollment ID: O20031107000587

Entity Name	Community Care Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720031768 PECOS PAC ID: 1951324318 Enrollment ID: O20060111000900

Entity Name	Unlv Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407397235 PECOS PAC ID: 4183991458 Enrollment ID: O20170517002454

Entity Name	Capability Health & Human Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306983044 PECOS PAC ID: 9739515511 Enrollment ID: O20200214002171

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. Mario J Gaspar De Alba 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
Mario J Gaspar De Alba, MD 3016 W Charleston Blvd Ste 100, Las Vegas, NV 89102-1973 Ph: () -	Mario J Gaspar De Alba, MD 630 S Rancho Dr Ste A, Las Vegas, NV 89106-4849 Ph: (702) 998-9505

Reviews and Comments

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Mario J Gaspar De Alba, MD - Medicare Pediatrics in Las Vegas, NV