Jacquelyn Villagomez Daneshforouz, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Las Vegas, NV

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Jacquelyn Villagomez Daneshforouz, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Las Vegas, Nevada. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Drs Moshyedi And Mostaghim Md Pa, Kim Chen Pllc and her current practice location is 8530 W Sunset Rd Ste 230, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 483-4483.

Jacquelyn Villagomez Daneshforouz is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649728775.

Contact Information

Jacquelyn Villagomez Daneshforouz, PHYSICIAN ASSISTANT
8530 W Sunset Rd Ste 230,
Las Vegas, NV 89113
(702) 483-4483
(702) 483-4493

Map and Direction




Provider's Profile

Full NameJacquelyn Villagomez Daneshforouz
GenderFemale
SpecialityPhysician Assistant
Experience10 Years
Location8530 W Sunset Rd Ste 230, Las Vegas, Nevada
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacquelyn Villagomez Daneshforouz graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1649728775
  • Provider Enumeration Date: 09/19/2016
  • Last Update Date: 01/22/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9436432622
  • Enrollment ID: I20170214001313

Medical Identifiers

Medical identifiers for Jacquelyn Villagomez Daneshforouz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649728775NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Drs Moshyedi And Mostaghim Md Pa27695079796
Kim Chen Pllc397181337918

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. Jacquelyn Villagomez Daneshforouz allows following entities to bill medicare on her behalf.
Entity NameDrs Moshyedi & Mostaghim MD PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942526561
PECOS PAC ID: 2769507979
Enrollment ID: O20100911000048
Entity NameShock Trauma Associates PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679512909
PECOS PAC ID: 6800882317
Enrollment ID: O20161019001188
Entity NameAffiliated Specialists LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376091355
PECOS PAC ID: 9931480712
Enrollment ID: O20170110002522

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. Jacquelyn Villagomez Daneshforouz 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
Jacquelyn Villagomez Daneshforouz, PHYSICIAN ASSISTANT
2863 Saint Rose Pkwy,
Henderson, NV 89052-4806

Ph: (702) 483-4483		Jacquelyn Villagomez Daneshforouz, PHYSICIAN ASSISTANT
8530 W Sunset Rd Ste 230,
Las Vegas, NV 89113

Ph: (702) 483-4483

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.