Dr Soundos K Moualla, MD - Medicare Interventional Cardiology in Prescott, AZ

Dr Soundos K Moualla, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Prescott, Arizona. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Interventional Cardiology. She is a member of the group practice Yavapai Regional Medical Center Physician Care, Llc, Yavapai Community Hospital Association and her current practice location is 802 Ainsworth Dr Ste A, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 445-6025.

Dr Soundos K Moualla is licensed to practice in Arizona (license number 48512) 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 1396853461.

Contact Information

Dr Soundos K Moualla, MD
802 Ainsworth Dr Ste A,
Prescott, AZ 86301-1623
(928) 445-6025
(928) 777-2423

Map and Direction




Physician's Profile

Full NameDr Soundos K Moualla
GenderFemale
SpecialityInterventional Cardiology
Experience25 Years
Location802 Ainsworth Dr Ste A, Prescott, Arizona
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:
  • Dr Soundos K Moualla graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1396853461
  • Provider Enumeration Date: 08/28/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2264436294
  • Enrollment ID: I20140528001701

Medical Identifiers

Medical identifiers for Dr Soundos K Moualla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396853461NPI-NPPES
48512OtherAZARIZONA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 4301093355 (Michigan)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 48512 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yavapai Regional Medical CenterPrescott, AZHospital
Banner - University Medical Center PhoenixPhoenix, AZHospital
Kingman Regional Medical CenterKingman, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Yavapai Regional Medical Center Physician Care, Llc5294898987119
Yavapai Community Hospital Association660877702418

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 Soundos K Moualla allows following entities to bill medicare on her behalf.
Entity NameYavapai Community Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902897820
PECOS PAC ID: 6608777024
Enrollment ID: O20040119000405
Entity NameYavapai Regional Medical Center Physician Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255582003
PECOS PAC ID: 5294898987
Enrollment ID: O20090106000798

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 Soundos K Moualla 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 Soundos K Moualla, MD
Po Box 10880,
Prescott, AZ 86304-0880

Ph: (928) 759-5987
Dr Soundos K Moualla, MD
802 Ainsworth Dr Ste A,
Prescott, AZ 86301-1623

Ph: (928) 445-6025

Reviews and Comments


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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.

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