Soua Ly Moua, in Gresham, OR - Medicare Marriage & Family Therapist Provider

Soua Ly Moua, is a medicare enrolled "Marriage & Family Therapist" provider in Gresham, Oregon. Her current practice location is 330 Ne Greenway Dr, Gresham, Oregon. You can reach out to her office (for appointments etc.) via phone at (562) 644-4413.

Soua Ly Moua is licensed to practice in California (license number MFC50724) 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 1053442707.

Contact Information

	Soua Ly Moua,
	330 Ne Greenway Dr, Gresham, OR 97030-1702
	(562) 644-4413
	(562) 490-7601

Map and Direction

Healthcare Provider's Profile

Full Name	Soua Ly Moua
Gender	Female
Speciality	Marriage & Family Therapist
Location	330 Ne Greenway Dr, Gresham, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053442707
Provider Enumeration Date: 03/07/2007
Last Update Date: 12/17/2020

Medicare PECOS Information:

PECOS PAC ID: 3779011457
Enrollment ID: I20250108002816

Medical Identifiers

Medical identifiers for Soua Ly Moua such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053442707	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC50724 (California)	Primary

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. Soua Ly Moua allows following entities to bill medicare on her behalf.

Entity Name	Izzo Marriage & Family Therapy Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518557552 PECOS PAC ID: 5092249490 Enrollment ID: O20241107002046

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. Soua Ly Moua 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
Soua Ly Moua, 330 Ne Greenway Dr, Gresham, OR 97030-1702 Ph: (562) 644-4413	Soua Ly Moua, 330 Ne Greenway Dr, Gresham, OR 97030-1702 Ph: (562) 644-4413

Reviews and Comments

Marriage & Family Therapist in Gresham, OR

Ms. Sabrina Joye Hindman, M.ED, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6370 Se 26th St, Gresham, OR 97080 Phone: 503-703-0657 Fax: 503-907-6508
Mrs. Angela M Caiazza, LMFT Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 123 E Powell Blvd, Suite #303, Gresham, OR 97030 Phone: 503-516-8266
Ms. Kathleen Suzanne Leavitt, M.ED. Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 1700 Nw Civic Dr, Suite 310, Gresham, OR 97030 Phone: 503-666-8832
Mr. Scott Martin Laforce, MFT ASSOCIATE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1584 Ne 8th St Ste 200, Gresham, OR 97030 Phone: 971-220-6449 Fax: 503-388-3879
Dr. Maya Iturra, LMFT, LMHC, NCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 234 Nw 1st St Apt 105, Gresham, OR 97030 Phone: 360-207-3930
Ella Lee Olson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 320 N Main Ave Ste 201d, Gresham, OR 97030 Phone: 503-568-1509

Soua Ly Moua, - Medicare Couples Therapy in Gresham, OR