Canary Yen Hoang Ly, DNP, FNP-BC, RN - Medicare Nurse Practitioner in Portland, OR

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Canary Yen Hoang Ly, DNP, FNP-BC, RN is a medicare enrolled "Nurse Practitioner - Family" in Portland, Oregon. Her current practice location is 2275 W Burnside St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 575-7112.

Canary Yen Hoang Ly is licensed to practice in Oregon (license number 202205783NP-PP) 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 1871130419.

Contact Information

Canary Yen Hoang Ly, DNP, FNP-BC, RN
2275 W Burnside St,
Portland, OR 97210-3541
(503) 575-7112
Not Available

Map and Direction




Provider's Profile

Full NameCanary Yen Hoang Ly
GenderFemale
SpecialityNurse Practitioner - Family
Location2275 W Burnside St, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871130419
  • Provider Enumeration Date: 12/02/2019
  • Last Update Date: 07/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5395120968
  • Enrollment ID: I20220917000626

Medical Identifiers

Medical identifiers for Canary Yen Hoang Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871130419NPI-NPPES
202205783NP-PPOtherORNP-PP FAMILY
202205726RNOtherORRN
RN2337048OtherMAREGISTERED NURSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN2337048 (Massachusetts)Secondary
163W00000XRegistered Nurse 202205726RN (Oregon)Secondary
363LF0000XNurse Practitioner - Family 202205783NP-PP (Oregon)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. Canary Yen Hoang Ly allows following entities to bill medicare on her behalf.
Entity NameUniversity Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013
Entity NameKnow Allergy, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265034987
PECOS PAC ID: 6800292004
Enrollment ID: O20210914002621

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. Canary Yen Hoang 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
Canary Yen Hoang Ly, DNP, FNP-BC, RN
2275 W Burnside St,
Portland, OR 97210-3541

Ph: (503) 575-7112		Canary Yen Hoang Ly, DNP, FNP-BC, RN
2275 W Burnside St,
Portland, OR 97210-3541

Ph: (503) 575-7112

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.

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).

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