Dr Dat Ly, MD | |
350 Hawthorne Ave, Oakland, CA 94609-3100 | |
(510) 655-4000 | |
(510) 869-8906 |
Full Name | Dr Dat Ly |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 29 Years |
Location | 350 Hawthorne Ave, Oakland, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790791564 | NPI | - | NPPES |
00A628010 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A62801 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ambulatory Consultants Medical Group Inc | 0446299184 | 5 |
Entity Name | East Bay Anesthesiology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649226242 PECOS PAC ID: 2365348950 Enrollment ID: O20031212000512 |
Entity Name | Ambulatory Consultants Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437178563 PECOS PAC ID: 0446299184 Enrollment ID: O20050502000809 |
Mailing Address | Practice Location Address |
---|---|
Dr Dat Ly, MD 350 Hawthorne Ave, Oakland, CA 94609 Ph: (510) 655-4000 | Dr Dat Ly, MD 350 Hawthorne Ave, Oakland, CA 94609-3100 Ph: (510) 655-4000 |
Therese M. Hickey, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 | |
Tobechi Okoronkwo, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1411 E 31st St, A2 Room 18, Oakland, CA 94602 Phone: 510-535-7618 | |
Dr. David P. Redlin, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 | |
Dr. Richard Glaser, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3875 Telegraph Ave, Oakland, CA 94609 Phone: 510-547-2244 | |
Dr. Stephen Cooper, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-655-4000 Fax: 510-869-8906 | |
Dr. Brian Hite, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3875 Telegraph Ave, Oakland, CA 94609 Phone: 510-547-2244 Fax: 415-383-7142 | |
Margaret Elizabeth Galloway, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 |