Ly T Phan, MD - Medicare General Surgery in Columbia, MO

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Ly T Phan, MD is a medicare enrolled "Surgery" physician in Columbia, Missouri. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Cameron Regional Medical Center Inc and his current practice location is 1601 E Broadway, Ste 240, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 815-8145.

Ly T Phan is licensed to practice in Missouri (license number 2005030724) 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 1356430870.

Contact Information

Ly T Phan, MD
1601 E Broadway, Ste 240,
Columbia, MO 65201-8020
(573) 815-8145
(573) 815-3832

Map and Direction




Physician's Profile

Full NameLy T Phan
GenderMale
SpecialityGeneral Surgery
Experience25 Years
Location1601 E Broadway, Columbia, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ly T Phan graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1356430870
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 04/11/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0547288565
  • Enrollment ID: I20051109000014

Medical Identifiers

Medical identifiers for Ly T Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356430870NPI-NPPES
207505603MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 2005030724 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cameron Regional Medical CenterCameron, MOHospital
Harrison County Community HospitalBethany, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cameron Regional Medical Center Inc509262200158

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 T Phan allows following entities to bill medicare on his behalf.
Entity NameCameron Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811905375
PECOS PAC ID: 5092622001
Enrollment ID: O20040113000619
Entity NameMissouri Delta Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508967860
PECOS PAC ID: 1355252891
Enrollment ID: O20040308001306
Entity NameScotland County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205844982
PECOS PAC ID: 8224940366
Enrollment ID: O20040923000249
Entity NamePoplar Bluff Hma Physician Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598710147
PECOS PAC ID: 5092769703
Enrollment ID: O20050307000013
Entity NameSkaggs Community Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386708600
PECOS PAC ID: 5092624320
Enrollment ID: O20070219000034
Entity NameHarrison County Community Hospital District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1528062569
PECOS PAC ID: 4587630926
Enrollment ID: O20071201000173
Entity NameScotland County Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1083624647
PECOS PAC ID: 8224940366
Enrollment ID: O20140226001733

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 T Phan 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
Ly T Phan, MD
670 Mason Ridge Center Dr, Ste 300,
Saint Louis, MO 63141-8573

Ph: (573) 815-8145		Ly T Phan, MD
1601 E Broadway, Ste 240,
Columbia, MO 65201-8020

Ph: (573) 815-8145

Reviews and Comments


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Richard Smith, M.D.
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Phone: 573-884-4854    Fax: 573-884-6054

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).

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