Dr Peter N Ly, DPM - Medicare Podiatrist in Peoria, IL

Dr Peter N Ly, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Peoria, Illinois. His current practice location is 7717 N. Orange Prairie Road, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (619) 518-1506.

Dr Peter N Ly is licensed to practice in California (license number E3804) 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 1447254396.

Contact Information

Dr Peter N Ly, DPM
7717 N. Orange Prairie Road,
Peoria, IL 61615
(619) 518-1506
(309) 589-6994

Map and Direction




Healthcare Provider's Profile

Full NameDr Peter N Ly
GenderMale
SpecialityPodiatrist - Foot Surgery
Location7717 N. Orange Prairie Road, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447254396
  • Provider Enumeration Date: 06/09/2005
  • Last Update Date: 03/27/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1759405186
  • Enrollment ID: I20130624000068

Medical Identifiers

Medical identifiers for Dr Peter N Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447254396NPI-NPPES
000E38040MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0131XPodiatrist - Foot Surgery E3804 (California)Primary

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. Dr Peter N 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
Dr Peter N Ly, DPM
7717 N. Orange Prairie Road,
Peoria, IL 61615

Ph: (619) 518-1506
Dr Peter N Ly, DPM
7717 N. Orange Prairie Road,
Peoria, IL 61615

Ph: (619) 518-1506

Reviews and Comments


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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.

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