Dr David Ly, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Ravenna, Ohio. His current practice location is
6847 N Chestnut St, Ravenna, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 235-7081.
Dr David Ly is licensed to practice in Ohio (license number 35.129274) 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 1477879864.
Physician's Profile
Full Name | Dr David Ly |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 6847 N Chestnut St, Ravenna, Ohio |
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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 David Ly attended and graduated from in
NPI Data:
- NPI Number: 1477879864
- Provider Enumeration Date: 04/12/2010
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr David Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477879864 | NPI | - | NPPES |
P01536506 | Other | AZ | RAILROAD MEDICARE |
QZZ000000061638 | Other | AZ | MERCY CARE |
3495287 | Other | AZ | CIGNA |
041529 | Medicaid | AZ | |
7140968 | Other | AZ | AETNA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | 51021 (Arizona) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
2085R0001X | Radiology - Radiation Oncology | 35.129274 (Ohio) | 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. Dr David 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 David Ly, MD 20800 Harvard Rd Fl 2, Highland Hills, OH 44122-7250 Ph: (216) 358-2156 | Dr David Ly, MD 6847 N Chestnut St, Ravenna, OH 44266-3929 Ph: (330) 235-7081 |
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