Mrs Kelly Anne Soares, PA-C is a medicare enrolled "Physician Assistant" physician in Scottsdale, Arizona. Her current practice location is
9819 N 95th St Ste 105, Scottsdale, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 874-2229.
Mrs Kelly Anne Soares is licensed to practice in Arizona (license number 7523) 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 1083126809.
Physician's Profile
Full Name | Mrs Kelly Anne Soares |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 9819 N 95th St Ste 105, Scottsdale, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083126809
- Provider Enumeration Date: 11/02/2017
- Last Update Date: 08/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092142547
- Enrollment ID: I20200224001844
Medical Identifiers
Medical identifiers for Mrs Kelly Anne Soares such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083126809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 363A00000X (California) | Secondary |
363A00000X | Physician Assistant | 7523 (Arizona) | Primary |
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. Mrs Kelly Anne Soares 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 Address | Practice Location Address |
Mrs Kelly Anne Soares, PA-C 9819 N 95th St Ste 105, Scottsdale, AZ 85258-4588 Ph: (480) 874-2229 | Mrs Kelly Anne Soares, PA-C 9819 N 95th St Ste 105, Scottsdale, AZ 85258-4588 Ph: (480) 874-2229 |
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