Princeton Ly, - Medicare Pediatrics in Santa Monica, CA

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Princeton Ly, is a medicare enrolled "Pediatrics" physician in Santa Monica, California. His current practice location is 2825 Santa Monica Blvd Ste 104, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 829-9935.

Princeton Ly is licensed to practice in California (license number A156336) 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 1497118129.

Contact Information

Princeton Ly,
2825 Santa Monica Blvd Ste 104,
Santa Monica, CA 90404-2429
(310) 829-9935
(310) 829-1077

Map and Direction




Physician's Profile

Full NamePrinceton Ly
GenderMale
SpecialityPediatrics
Location2825 Santa Monica Blvd Ste 104, Santa Monica, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497118129
  • Provider Enumeration Date: 03/31/2016
  • Last Update Date: 09/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5597094813
  • Enrollment ID: I20190912000781

Medical Identifiers

Medical identifiers for Princeton Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497118129NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A156336 (California)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. Princeton Ly allows following entities to bill medicare on his behalf.
Entity NameUc Regents
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982667663
PECOS PAC ID: 4587568829
Enrollment ID: O20031119001005
Entity NameThe Regents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235107566
PECOS PAC ID: 1355248584
Enrollment ID: O20031223000439

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. Princeton 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
Princeton Ly,
5767 W Century Blvd Ste 400,
Los Angeles, CA 90045-5631

Ph: () -		Princeton Ly,
2825 Santa Monica Blvd Ste 104,
Santa Monica, CA 90404-2429

Ph: (310) 829-9935

Reviews and Comments


Pediatrics Doctors in Santa Monica, CA

Mina Rim Kang, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404
Phone: 310-453-1324    Fax: 424-212-5921
Suparna Jain, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1450 10th St., Suite 304, Santa Monica, CA 90401
Phone: 310-458-1714    Fax: 310-394-8754
Linda R Nussbaum, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 901 Montana Ave, Suite C, Santa Monica, CA 90403
Phone: 310-393-9784    Fax: 310-393-0187
Terrie Susie Ahn, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1245 16th St, Santa Monica, CA 90404
Phone: 310-481-4646    Fax: 310-899-7599
Dr. Jamie Maria Wiggin, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1260 15th St Ste 1024, Santa Monica, CA 90404
Phone: 424-259-8570    
Dr. Janet M Ma, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1245 16th St, Suite 125, Santa Monica, CA 90404
Phone: 310-315-8900    Fax: 310-315-8902
Cara F. Natterson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1450 10th St, Suite 304, Santa Monica, CA 90401
Phone: 310-458-1714    Fax: 310-394-8754

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.