Jimmy Ly, MD in Los Angeles, CA - Medicare Anesthesiology

Jimmy Ly, MD is a medicare enrolled "Anesthesiology" physician in Los Angeles, California. His current practice location is 1450 San Pablo St Ste 3600, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 865-1084.

Jimmy Ly is licensed to practice in Arizona (license number 69898) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912460486.

Contact Information

	Jimmy Ly, MD
	1450 San Pablo St Ste 3600, Los Angeles, CA 90033-5332
	(323) 865-1084
	Not Available

Map and Direction

Physician's Profile

Full Name	Jimmy Ly
Gender	Male
Speciality	Anesthesiology
Location	1450 San Pablo St Ste 3600, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912460486
Provider Enumeration Date: 04/10/2019
Last Update Date: 02/03/2025

Medicare PECOS Information:

PECOS PAC ID: 5395105399
Enrollment ID: I20230724000429

Medical Identifiers

Medical identifiers for Jimmy Ly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912460486	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	A179013 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207L00000X	Anesthesiology	69898 (Arizona)	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. Jimmy Ly allows following entities to bill medicare on his behalf.

Entity Name	Valley Anesthesiology Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285660704 PECOS PAC ID: 4880591841 Enrollment ID: O20031217000620

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. Jimmy 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
Jimmy Ly, MD 1450 San Pablo St Ste 3600, Los Angeles, CA 90033-5332 Ph: (323) 442-7400	Jimmy Ly, MD 1450 San Pablo St Ste 3600, Los Angeles, CA 90033-5332 Ph: (323) 865-1084

Reviews and Comments

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Dr. Phil Orallo Castillo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Room 14-901, Los Angeles, CA 90033 Phone: 323-226-4597 Fax: 323-226-2794
Alma Luna Wells, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3160 Geneva St, Los Angeles, CA 90020 Phone: 818-813-4061

Jimmy Ly, MD - Medicare Anesthesiology in Los Angeles, CA