Michelle Ly, | |
701 E El Camino Real, Mountain View, CA 94040-2833 | |
(650) 934-7956 | |
Not Available |
Full Name | Michelle Ly |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 701 E El Camino Real, Mountain View, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285075804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0200X | Registered Nurse - Pediatrics | 648293 (New York) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | NP95000678 (California) | Primary |
Entity Name | Prohealth Care Associates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
Mailing Address | Practice Location Address |
---|---|
Michelle Ly, 325 Distel Cir, Los Altos, CA 94022-1408 Ph: () - | Michelle Ly, 701 E El Camino Real, Mountain View, CA 94040-2833 Ph: (650) 934-7956 |
Tricia Benjamin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7800 | |
Stella Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 580 N Rengstorff Ave, Mountain View, CA 94043 Phone: 800-972-5547 | |
Caitlin Pham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7150 | |
Ms. Susan Ann Tenney, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 San Antonio Rd, Mountain View, CA 94040 Phone: 650-948-0807 | |
Shelley Gallivan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1503 Grant Rd Ste 110, Mountain View, CA 94040 Phone: 650-484-1213 | |
Jamie M. Nho, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Joaquin Rd, Mountain View, CA 94043 Phone: 510-402-8829 | |
Shannon Gaine, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2630 W El Camino Real, Mountain View, CA 94040 Phone: 631-848-9662 |