Mrs Kelly Anne Soares, PA-C - Medicare Physician Assistant in Scottsdale, AZ

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.

Contact Information

Mrs Kelly Anne Soares, PA-C
9819 N 95th St Ste 105,
Scottsdale, AZ 85258-4588
(480) 874-2229
Not Available



Physician's Profile

Full NameMrs Kelly Anne Soares
GenderFemale
SpecialityPhysician Assistant
Location9819 N 95th St Ste 105, Scottsdale, Arizona
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1083126809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 363A00000X (California)Secondary
363A00000XPhysician 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 AddressPractice 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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