Chan Ly, in Olympia, WA - Medicare Nurse Practitioner

Chan Ly, is a medicare enrolled "Nurse Practitioner" in Olympia, Washington. Her current practice location is 141 Lilly Rd Ne, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 413-8880.

Chan Ly is licensed to practice in Washington (license number AP61214320) 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 1932736121.

Contact Information

	Chan Ly,
	141 Lilly Rd Ne, Olympia, WA 98506-5028
	(360) 413-8880
	(360) 810-3697

Map and Direction

Provider's Profile

Full Name	Chan Ly
Gender	Female
Speciality	Nurse Practitioner
Location	141 Lilly Rd Ne, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932736121
Provider Enumeration Date: 03/26/2020
Last Update Date: 09/11/2024

Medicare PECOS Information:

PECOS PAC ID: 0345628871
Enrollment ID: I20220611000238

Medical Identifiers

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

Identifier	Type	State	Issuer
1932736121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0400X	Registered Nurse - Case Management	RN60240413 (Washington)	Secondary
363L00000X	Nurse Practitioner	AP61214320 (Washington)	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. Chan Ly allows following entities to bill medicare on her behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

Entity Name	South Sound Inpatient Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668

Entity Name	Cogent Healthcare Of Washington, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861430522 PECOS PAC ID: 2062306350 Enrollment ID: O20040209000839

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. Chan 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
Chan Ly, Po Box 749495, Atlanta, GA 30374-9495 Ph: (855) 963-2100	Chan Ly, 141 Lilly Rd Ne, Olympia, WA 98506-5028 Ph: (360) 413-8880

Reviews and Comments

Nurse Practitioner Nurses in Olympia, WA

Karen Yepez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Lilly Rd Ne Ste 201, Olympia, WA 98506 Phone: 360-413-8272 Fax: 360-413-8878
Ms. Melinda Anne Harris-moulton, MSN, ARNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5201 Dolphin Ln Nw, Olympia, WA 98502 Phone: 360-866-8143
Katelin Petrin, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3434 12th Ave Ne, Olympia, WA 98506 Phone: 360-413-8470 Fax: 360-413-8490
Michelle Jennings Hood, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3920 Capital Mall Dr Sw Ste 400, Olympia, WA 98502 Phone: 360-705-1259
Kimberly E Riano, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2950 Limited Ln Nw, Olympia, WA 98502 Phone: 360-706-2763 Fax: 360-350-0735
Dara S Bernal, AP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3516 7th Ave Sw, Olympia, WA 98502 Phone: 360-489-2906
Madeleine Reed, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 Lilly Rd Ne Ste B, Olympia, WA 98506 Phone: 604-138-2503

Chan Ly, - Medicare Nurse Practitioner in Olympia, WA