Phong Ly, DDS - Medicare Dentist in Coon Rapids, MN

Phong Ly, DDS is a medicare enrolled "Dentist" provider in Coon Rapids, Minnesota. His current practice location is 9920 Foley Blvd Nw Ste 110, Coon Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 377-2110.

Phong Ly is licensed to practice in Minnesota (license number D13699) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790131761.

Contact Information

Phong Ly, DDS
9920 Foley Blvd Nw Ste 110,
Coon Rapids, MN 55433-5216
(763) 377-2110
Not Available

Map and Direction




Healthcare Provider's Profile

Full NamePhong Ly
GenderMale
SpecialityDentist
Location9920 Foley Blvd Nw Ste 110, Coon Rapids, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790131761
  • Provider Enumeration Date: 05/10/2016
  • Last Update Date: 08/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1951695030
  • Enrollment ID: I20160812000011

Medical Identifiers

Medical identifiers for Phong Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790131761NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D13699 (Minnesota)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. Phong Ly 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
Phong Ly, DDS
9920 Foley Blvd Nw Ste 110,
Coon Rapids, MN 55433-5216

Ph: (763) 317-1166
Phong Ly, DDS
9920 Foley Blvd Nw Ste 110,
Coon Rapids, MN 55433-5216

Ph: (763) 377-2110

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).

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