Dr Calvin C Ly, DO is a medicare enrolled "Emergency Medicine" physician in Hercules, California. He went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 2005 and has 19 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Snf Specialists Medical Corporation and his current practice location is
600 Alfred Nobel Dr Ste A, Hercules, California. You can reach out to his office (for appointments etc.) via phone at
(510) 984-1103.
Dr Calvin C Ly is licensed to practice in California (license number 20A 10209) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376761767.
Physician's Profile
| Full Name | Dr Calvin C Ly |
|---|
| Gender | Male |
|---|
| Speciality | Emergency Medicine |
|---|
| Experience | 19 Years |
|---|
| Location | 600 Alfred Nobel Dr Ste A, Hercules, California |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Calvin C Ly attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2005
NPI Data:
- NPI Number: 1376761767
- Provider Enumeration Date: 04/23/2007
- Last Update Date: 06/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 7517025562
- Enrollment ID: I20081021000376
Medical Identifiers
Medical identifiers for Dr Calvin C Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376761767 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 58001776 (Ohio) | Secondary |
| 207P00000X | Emergency Medicine | 20A 10209 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Snf Specialists Medical Corporation | 3678849049 | 16 |
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. Dr Calvin C Ly allows following entities to bill medicare on his behalf.
| Entity Name | Cep America - California |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458 |
|---|
| Entity Name | Snf Specialists Medical Corporation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1497265565
PECOS PAC ID: 3678849049
Enrollment ID: O20171030003464 |
|---|
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. Dr Calvin C 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 Address | Practice Location Address |
|---|
Dr Calvin C Ly, DO
250 Point Lobos Ave Apt 603,
San Francisco, CA 94121-1402
Ph: (714) 883-8261 | Dr Calvin C Ly, DO
600 Alfred Nobel Dr Ste A,
Hercules, CA 94547-1834
Ph: (510) 984-1103 |
Reviews and Comments