Samantha Vivian Ly, RN, BSN - Medicare Registered Nurse in Boston, MA

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Samantha Vivian Ly, RN, BSN is a medicare enrolled "Registered Nurse" in Boston, Massachusetts. Her current practice location is 780 Albany St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (857) 654-1000.

Samantha Vivian Ly is licensed to practice in Massachusetts (license number RN2337120) 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 1033752050.

Contact Information

Samantha Vivian Ly, RN, BSN
780 Albany St,
Boston, MA 02118-2755
(857) 654-1000
(857) 654-1100

Map and Direction




Provider's Profile

Full NameSamantha Vivian Ly
GenderFemale
SpecialityRegistered Nurse
Location780 Albany St, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033752050
  • Provider Enumeration Date: 10/22/2019
  • Last Update Date: 10/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8426421579
  • Enrollment ID: I20230310001288

Medical Identifiers

Medical identifiers for Samantha Vivian Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033752050NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN2337120 (Massachusetts)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. Samantha Vivian Ly allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic Medical Group Of Orange County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104013879
PECOS PAC ID: 5991868929
Enrollment ID: O20090116000214
Entity NameMinuteclinic Diagnostic Medical Group Of San Diego Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568659233
PECOS PAC ID: 2567520414
Enrollment ID: O20090127000249

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. Samantha Vivian 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
Samantha Vivian Ly, RN, BSN
780 Albany St,
Boston, MA 02118-2755

Ph: (857) 654-1000		Samantha Vivian Ly, RN, BSN
780 Albany St,
Boston, MA 02118-2755

Ph: (857) 654-1000

Reviews and Comments


Registered Nurse Nurses in Boston, MA

Asa Paris,
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Medicare: Accepting Medicare Assignments
Practice Location: 780 Albany St, Boston, MA 02118
Phone: 857-654-1000    
Enid Ramos, RN
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Practice Location: 780 Albany St, Boston, MA 02118
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Camie Doyle, CRNA
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Mr. Mark James Walker, FNP-C
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Christine Elizabeth O'connor, NURSE PRACTITIONER
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Nicaury Victoria Suazo Ortiz, RN
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Phone: 617-425-2000    

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.