Amanda Van Ly, DO | |
584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862 | |
(916) 250-2596 | |
(916) 550-5025 |
Full Name | Amanda Van Ly |
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Gender | Female |
Speciality | Surgery |
Location | 584 N Sunrise Ave Ste 100, Roseville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417443334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 5101024118 (Michigan) | Primary |
Entity Name | Sierra Medical Partnership |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568015808 PECOS PAC ID: 7810321858 Enrollment ID: O20191227000310 |
Mailing Address | Practice Location Address |
---|---|
Amanda Van Ly, DO 1625 Creekside Dr Ste 202, Folsom, CA 95630-3819 Ph: (916) 663-2100 | Amanda Van Ly, DO 584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862 Ph: (916) 250-2596 |
Shumaila Syed, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr Ste 130, Roseville, CA 95661 Phone: 916-773-8750 Fax: 916-773-8751 | |
Dr. Jay C Owens, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3 Medical Plaza Dr, Suite 130, Roseville, CA 95661 Phone: 916-773-8750 Fax: 916-773-8751 | |
Jonathan W. Wardell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Dr. Colton Reed Lynn, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1000 | |
Dmitri V Gelfand, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr, #130, Roseville, CA 95661 Phone: 916-773-8750 | |
Dr. Thomas Joseph Curran, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Samia G. Foster, MD Surgery Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 |