Dr Roland Jayson Formoso Pua, MD - Medicare Internal Medicine in Las Vegas, NV

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Dr Roland Jayson Formoso Pua, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Las Vegas, Nevada. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Medical Group Llc and his current practice location is 9460 W Flamingo Rd, Suite 120, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 638-7705.

Dr Roland Jayson Formoso Pua is licensed to practice in Nevada (license number 12103) 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 1215009782.

Contact Information

Dr Roland Jayson Formoso Pua, MD
9460 W Flamingo Rd, Suite 120,
Las Vegas, NV 89147-5742
(702) 638-7705
(702) 638-7706

Map and Direction




Physician's Profile

Full NameDr Roland Jayson Formoso Pua
GenderMale
SpecialityInternal Medicine
Experience25 Years
Location9460 W Flamingo Rd, Las Vegas, Nevada
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:
  • Dr Roland Jayson Formoso Pua graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1215009782
  • Provider Enumeration Date: 11/13/2006
  • Last Update Date: 01/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961403035
  • Enrollment ID: I20070117000107

Medical Identifiers

Medical identifiers for Dr Roland Jayson Formoso Pua such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215009782NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 67340 (Arizona)Secondary
207RG0300XInternal Medicine - Geriatric Medicine MD202126 (Oregon)Secondary
207RG0300XInternal Medicine - Geriatric Medicine C175306 (California)Secondary
207RG0300XInternal Medicine - Geriatric Medicine 15963 (Idaho)Secondary
207RG0300XInternal Medicine - Geriatric Medicine 12103 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Life Care Center Of South Las VegasLas vegas, NVNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Group Llc30726691833

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 Roland Jayson Formoso Pua allows following entities to bill medicare on his behalf.
Entity NameGeriatric Specialty Care Of Nevada, Pllc, Steven L. Phillips, M.d.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205088838
PECOS PAC ID: 6901969518
Enrollment ID: O20090108000170
Entity NameMedical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366681538
PECOS PAC ID: 3072669183
Enrollment ID: O20090915000257
Entity NamePlatinum Hospitalists Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861627242
PECOS PAC ID: 7214076322
Enrollment ID: O20091203000160
Entity NameNevada Acute Medical Services-scherr 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992244438
PECOS PAC ID: 6103101738
Enrollment ID: O20170322002944
Entity NameDispatchhealth Nv Wagner Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023538790
PECOS PAC ID: 5193090298
Enrollment ID: O20170928003257
Entity NameGaps Health In P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851913719
PECOS PAC ID: 8729404397
Enrollment ID: O20200812003994

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 Roland Jayson Formoso Pua 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 Roland Jayson Formoso Pua, MD
11794 Longworth Rd,
Las Vegas, NV 89135-1323

Ph: () -		Dr Roland Jayson Formoso Pua, MD
9460 W Flamingo Rd, Suite 120,
Las Vegas, NV 89147-5742

Ph: (702) 638-7705

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.