Dr David Ly, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Ravenna, Ohio. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2010 and has 14 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Sequoia Radiation Oncology Services, Inc and his current practice location is
6847 N Chestnut St, Ravenna, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 235-7081.
Dr David Ly is licensed to practice in Ohio (license number 35.129274) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477879864.
Physician's Profile
| Full Name | Dr David Ly |
|---|
| Gender | Male |
|---|
| Speciality | Radiation Oncology |
|---|
| Experience | 14 Years |
|---|
| Location | 6847 N Chestnut St, Ravenna, Ohio |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr David Ly attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2010
NPI Data:
- NPI Number: 1477879864
- Provider Enumeration Date: 04/12/2010
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456583467
- Enrollment ID: I20210326000431
Medical Identifiers
Medical identifiers for Dr David Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477879864 | NPI | - | NPPES |
| P01536506 | Other | AZ | RAILROAD MEDICARE |
| QZZ000000061638 | Other | AZ | MERCY CARE |
| 3495287 | Other | AZ | CIGNA |
| 041529 | Medicaid | AZ | |
| 7140968 | Other | AZ | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0001X | Radiology - Radiation Oncology | 51021 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 35.129274 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sequoia Radiation Oncology Services, Inc | 8820404296 | 2 |
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. Dr David Ly allows following entities to bill medicare on his behalf.
| Entity Name | Sequoia Radiation Oncology Services, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1861091795
PECOS PAC ID: 8820404296
Enrollment ID: O20210309002773 |
|---|
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 David 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 |
|---|
Dr David Ly, MD
20800 Harvard Rd Fl 2,
Highland Hills, OH 44122-7250
Ph: (216) 358-2156 | Dr David Ly, MD
6847 N Chestnut St,
Ravenna, OH 44266-3929
Ph: (330) 235-7081 |
Reviews and Comments