Dr Kelly Kim Ly, MD - Medicare Pediatrics in New York, NY

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Dr Kelly Kim Ly, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in New York, New York. Her current practice location is 227 Madison St, Pediatrics Dept, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 238-7260.

Dr Kelly Kim Ly is licensed to practice in New York (license number 224534) 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 1801914742.

Contact Information

Dr Kelly Kim Ly, MD
227 Madison St, Pediatrics Dept,
New York, NY 10002-7537
(212) 238-7260
(212) 238-7799

Map and Direction




Physician's Profile

Full NameDr Kelly Kim Ly
GenderFemale
SpecialityPediatrics - Adolescent Medicine
Location227 Madison St, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801914742
  • Provider Enumeration Date: 03/27/2007
  • Last Update Date: 07/12/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5496846859
  • Enrollment ID: I20080417000630

Medical Identifiers

Medical identifiers for Dr Kelly Kim Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801914742NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine 25MA07959400 (New Jersey)Secondary
2080A0000XPediatrics - Adolescent Medicine 224534 (New York)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. Dr Kelly Kim Ly allows following entities to bill medicare on her behalf.
Entity NameNew York City Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548208127
PECOS PAC ID: 4183535305
Enrollment ID: O20040322001521

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 Kelly Kim 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
Dr Kelly Kim Ly, MD
227 Madison St, Pediatrics Dept,
New York, NY 10002-7537

Ph: (212) 238-7260		Dr Kelly Kim Ly, MD
227 Madison St, Pediatrics Dept,
New York, NY 10002-7537

Ph: (212) 238-7260

Reviews and Comments


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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.

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