Ly Phung Lam, OD in Colton, CA - Medicare Optometrist Provider

Ly Phung Lam, OD is a medicare enrolled "Optometrist" provider in Colton, California. Her current practice location is 308 N La Cadena Dr, Colton, California. You can reach out to her office (for appointments etc.) via phone at (909) 321-4700.

Ly Phung Lam is licensed to practice in California (license number 33646) 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 1144574732.

Contact Information

	Ly Phung Lam, OD
	308 N La Cadena Dr, Colton, CA 92324-2946
	(909) 321-4700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ly Phung Lam
Gender	Female
Speciality	Optometrist
Location	308 N La Cadena Dr, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144574732
Provider Enumeration Date: 11/04/2012
Last Update Date: 04/11/2017

Medicare PECOS Information:

PECOS PAC ID: 6507093549
Enrollment ID: I20170705003363

Medical Identifiers

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

Identifier	Type	State	Issuer
1144574732	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OEG002712 (Pennsylvania)	Secondary
152W00000X	Optometrist	4952 (Massachusetts)	Secondary
152W00000X	Optometrist	33646 (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. Ly Phung Lam allows following entities to bill medicare on her behalf.

Provider Name	Unicare Community Health Center, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265854061 PECOS PAC ID: 8426369067 Enrollment ID: O20150623001589

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. Ly Phung Lam 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
Ly Phung Lam, OD 437 N Euclid Ave, Ontario, CA 91762-3456 Ph: (909) 321-4700	Ly Phung Lam, OD 308 N La Cadena Dr, Colton, CA 92324-2946 Ph: (909) 321-4700

Reviews and Comments

Optometrist in Colton, CA

Glen R. Gaerte, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1300 E Cooley Dr, Colton, CA 92324 Phone: 909-370-4100 Fax: 909-796-4158
Firstsight Vision Services, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Mount Vernon Ave, Colton, CA 92324 Phone: 909-783-4850 Fax: 909-783-4040
Beaver Medical Group P C Optometrist Medicare: Medicare Enrolled Practice Location: 1300 E Cooley Dr, Colton, CA 92324 Phone: 909-370-4100 Fax: 909-796-4158
Douglas Weber, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Mount Vernon Ave, Colton, CA 92324 Phone: 909-783-4850
Garnica Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Mount Vernon Ave, Colton, CA 92324 Phone: 909-783-4850
Lien Thi Kim Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Mount Vernon Ave, Colton Walmart, Colton, CA 92324 Phone: 909-783-4850

Ly Phung Lam, OD - Medicare Optometrist in Colton, CA