Mario J Gaspar De Alba, MD - Medicare Pediatrics 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



Physician's Profile

Full NameMario J Gaspar De Alba
GenderMale
SpecialityPediatrics - Developmental - Behavioral Pediatrics
Location630 S Rancho Dr Ste A, 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: 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.
IdentifierTypeStateIssuer
1275546590NPI-NPPES
1275546590MedicaidNV
178999201MedicaidTX
GW226ZOtherNVMEDICARE
8H0437OtherTXBC/BS OF TEXAS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0006XPediatrics - Developmental - Behavioral Pediatrics M3232 (Texas)Secondary
2080P0006XPediatrics - 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 NameUnlv Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407397235
PECOS PAC ID: 4183991458
Enrollment ID: O20170517002454

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Entity NameCapability Health & Human Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306983044
PECOS PAC ID: 9739515511
Enrollment ID: O20200214002171

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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. 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 AddressPractice 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

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Pediatrics Doctors in Las Vegas, NV

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Medicare: Medicare Enrolled
Practice Location: 2050 Mariner Dr, Suite #150, Las Vegas, NV 89128
Phone: 702-228-9066    
Sora Song, MD
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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
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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.
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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
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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
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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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