Dr Agatha Matsos Formoso, MD - Medicare Pediatrics in Las Vegas, NV

Dr Agatha Matsos Formoso, MD is a medicare enrolled "Pediatrics" physician in Las Vegas, Nevada. Her current practice location is 2650 N Tenaya Way # 308, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 870-2099.

Dr Agatha Matsos Formoso is licensed to practice in Nevada (license number 24172) 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 1124657036.

Contact Information

Dr Agatha Matsos Formoso, MD
2650 N Tenaya Way # 308,
Las Vegas, NV 89128-1102
(702) 870-2099
(702) 869-5347



Physician's Profile

Full NameDr Agatha Matsos Formoso
GenderFemale
SpecialityPediatrics
Location2650 N Tenaya Way # 308, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124657036
  • Provider Enumeration Date: 04/02/2020
  • Last Update Date: 11/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5395199137
  • Enrollment ID: I20231027000473

Medical Identifiers

Medical identifiers for Dr Agatha Matsos Formoso such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124657036NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 24172 (Nevada)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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 Agatha Matsos Formoso allows following entities to bill medicare on her behalf.
Entity NameIntermountain Medical Holdings Nevada Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245997279
PECOS PAC ID: 7416054622
Enrollment ID: O20220214001765

News Archive

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› Verified 4 days ago

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 Agatha Matsos Formoso 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 Agatha Matsos Formoso, MD
6355 S Buffalo Dr Fl 3,
Las Vegas, NV 89113-2133

Ph: (702) 216-3346
Dr Agatha Matsos Formoso, MD
2650 N Tenaya Way # 308,
Las Vegas, NV 89128-1102

Ph: (702) 870-2099

News Archive

Atypical antipsychotics is a safe mental health medication for nursing home residents

Conventional antipsychotics, antidepressants and benzodiazepines often administered to nursing home residents are no safer than atypical antipsychotics and may carry increased risks, according to an article in CMAJ.

McGuinty government commits to hepatitis C federal funding

The McGuinty government is committed to spending all of the federal funding for Ontarians infected with hepatitis C through the blood system prior to 1986 and after 1990, Health and Long-Term Care Minister George Smitherman announced today.

SphingoTec introduces a CE-IVD-marked point-of-care test to determine blood levels of bio-ADM

Diagnostics company SphingoTec GmbH today announced the launch of its IB10 sphingotest bio-ADM, a CE-IVD-marked point-of-care test to quantitatively determine blood levels of Bioactive Adrenomedullin (bio-ADM).

Researchers discover cellular pathway that causes lung-damaging inflammation in CF

Vancouver researchers have discovered the cellular pathway that causes lung-damaging inflammation in cystic fibrosis (CF), and that reducing the pathway's activity also decreases inflammation.

Read more News

› Verified 4 days ago


Pediatrics Doctors in Las Vegas, NV

Randi E Lampert, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2050 Mariner Dr, Suite #150, Las Vegas, NV 89128
Phone: 702-228-9066    
Sora Song, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3201 S Maryland Pkwy Ste 608, Las Vegas, NV 89109
Phone: 702-457-5437    Fax: 702-464-5801
Dr. Noah Benjamin Kohn, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1800 W. Charleston Blvd., Las Vegas, NV 89102
Phone: 702-383-2000    Fax: 888-456-2467
David Blank, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 10105 Banburry Cross Dr, Suite 370, Las Vegas, NV 89144
Phone: 702-260-4525    Fax: 702-869-0133
Vicki Hom, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4570 S. Eastern Ave, Suite #21, Las Vegas, NV 89119
Phone: 702-733-6033    Fax: 702-733-6033
Ms. Elsa H Von Schulenburg, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4800 Alpine Pl, Suite 10, Las Vegas, NV 89107
Phone: 702-851-3572    Fax: 702-851-3574
Ruben J Acherman, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 3131 La Canada St Ste 230, Las Vegas, NV 89169
Phone: 702-732-1290    Fax: 702-732-1385

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