Amanda Van Ly, DO - Medicare Surgery in Roseville, CA

Amanda Van Ly, DO is a medicare enrolled "Surgery" physician in Roseville, California. Her current practice location is 584 N Sunrise Ave Ste 100, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (916) 250-2596.

Amanda Van Ly is licensed to practice in Michigan (license number 5101024118) 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 1417443334.

Contact Information

Amanda Van Ly, DO
584 N Sunrise Ave Ste 100,
Roseville, CA 95661-2862
(916) 250-2596
(916) 550-5025

Map and Direction




Physician's Profile

Full NameAmanda Van Ly
GenderFemale
SpecialitySurgery
Location584 N Sunrise Ave Ste 100, Roseville, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417443334
  • Provider Enumeration Date: 07/03/2018
  • Last Update Date: 07/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244589844
  • Enrollment ID: I20230816002701

Medical Identifiers

Medical identifiers for Amanda Van Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417443334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 5101024118 (Michigan)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. Amanda Van Ly allows following entities to bill medicare on her behalf.
Entity NameSierra Medical Partnership
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568015808
PECOS PAC ID: 7810321858
Enrollment ID: O20191227000310

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. Amanda Van 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
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

Reviews and Comments


Surgery Doctors in Roseville, CA

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    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.