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

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 NameVi Ly
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location525 N Wolfe St, Baltimore, Maryland
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1346810793NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R242988 (Maryland)Secondary
367500000XNurse 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 NameGolden State Providers, A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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    

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.