Vi Ly, DNP, CRNA in Baltimore, MD - Medicare Nurse Anesthetist, Certified Registered

Vi Ly, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Baltimore, Maryland. His current practice location is 525 N Wolfe St, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 955-4766.

Vi Ly is licensed to practice in California (license number 95002110) 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 1346810793.

Contact Information

	Vi Ly, DNP, CRNA
	525 N Wolfe St, Baltimore, MD 21205-2110
	(410) 955-4766
	Not Available

Map and Direction

Provider's Profile

Full Name	Vi Ly
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	525 N Wolfe St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346810793
Provider Enumeration Date: 06/28/2021
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 6103270426
Enrollment ID: I20230920002445

Medical Identifiers

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

Identifier	Type	State	Issuer
1346810793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R242988 (Maryland)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	95002110 (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. Vi Ly allows following entities to bill medicare on his behalf.

Entity Name	Golden State Providers, A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366859449 PECOS PAC ID: 7012212475 Enrollment ID: O20160223000539

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. Vi 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
Vi Ly, DNP, CRNA 4983 Grand Ave, Montclair, CA 91763-6433 Ph: (909) 630-8038	Vi Ly, DNP, CRNA 525 N Wolfe St, Baltimore, MD 21205-2110 Ph: (410) 955-4766

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Baltimore, MD

Ms. Jennifer Renee Pease Moreno, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Jhu 600 N Wolfe St, Dept Anesthesia Critical Care Medicine- Blalock 14th Fl, Baltimore, MD 21287 Phone: 410-955-4552
Kristen Marll, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-5209
Mrs. Victoria Volta Manger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 S Caton Ave, Baltimore, MD 21229 Phone: 667-234-3045
Duncan Mcelfresh, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2401 W Belvedere Ave, Anesthesia Department, Baltimore, MD 21215 Phone: 410-601-5209 Fax: 410-601-9744
Mr. Michael W Hoban, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Saint Paul St, Baltimore, MD 21202 Phone: 410-332-9375
Mrs. Dama Reter Yekeson-koffa, RN, SRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Ave, Anesthesia Department Bayview Medical Center, Baltimore, MD 21224 Phone: 443-694-8960 Fax: 410-356-5821
Kelly Mccarthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-8667

Vi Ly, DNP, CRNA - Medicare Nurse Anesthetist, Certified Registered in Baltimore, MD