Dr Uyen T Ly, MD in Occidental, CA - Medicare Family Practice

Dr Uyen T Ly, MD is a medicare enrolled "Family Medicine" physician in Occidental, California. She went to University Of Washington School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 3802 Main Street, Occidental, California. You can reach out to her office (for appointments etc.) via phone at (707) 874-2444.

Dr Uyen T Ly is licensed to practice in California (license number A76278) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700889128.

Contact Information

	Dr Uyen T Ly, MD
	3802 Main Street, Occidental, CA 95465
	(707) 874-2444
	(707) 874-1664

Map and Direction

Physician's Profile

Full Name	Dr Uyen T Ly
Gender	Female
Speciality	Family Practice
Experience	24 Years
Location	3802 Main Street, Occidental, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Uyen T Ly attended and graduated from University Of Washington School Of Medicine in 2000

NPI Data:

NPI Number: 1700889128
Provider Enumeration Date: 05/31/2005
Last Update Date: 01/06/2022

Medicare PECOS Information:

PECOS PAC ID: 3971581810
Enrollment ID: I20040708000807

Medical Identifiers

Medical identifiers for Dr Uyen T Ly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700889128	NPI	-	NPPES
FHC03899G	Medicaid	CA
ZZZ23666Z	Other	CA	BLUE SHIELD PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A76278 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Rosa Memorial Hospital	Santa rosa, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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 Uyen T Ly allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Uyen T 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 Uyen T Ly, MD Po Box 1449, Guerneville, CA 95446-1449 Ph: (707) 874-2444	Dr Uyen T Ly, MD 3802 Main Street, Occidental, CA 95465 Ph: (707) 874-2444

Reviews and Comments

Family Medicine Doctors in Occidental, CA

Molly Rebecca Kirkconnell, Family Medicine Medicare: Medicare Enrolled Practice Location: 3802 Main Street, Occidental, CA 95465 Phone: 707-874-2444 Fax: 707-874-2003
Dr. Victoria Davis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3802 Main Street, Occidental, CA 95465 Phone: 707-874-2444 Fax: 707-874-1664
Dr. Trina Bowen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3802 Main Street, Occidental, CA 95465 Phone: 707-874-2444 Fax: 707-874-1664

Dr Uyen T Ly, MD - Medicare Family Practice in Occidental, CA