Phuong Chi Ly, MD in Mission Viejo, CA - Medicare Family Practice

Phuong Chi Ly, MD is a medicare enrolled "Family Medicine" physician in Mission Viejo, California. He went to University Of Arkansas College Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Providence Medical Foundation and his current practice location is 26800 Crown Valley Pkwy Ste 150, Mission Viejo, California. You can reach out to his office (for appointments etc.) via phone at (949) 276-2111.

Phuong Chi Ly is licensed to practice in California (license number A53516) 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 1265512982.

Contact Information

	Phuong Chi Ly, MD
	26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691-8018
	(949) 276-2111
	Not Available

Map and Direction

Physician's Profile

Full Name	Phuong Chi Ly
Gender	Male
Speciality	Family Practice
Experience	31 Years
Location	26800 Crown Valley Pkwy Ste 150, Mission Viejo, California
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:

Phuong Chi Ly attended and graduated from University Of Arkansas College Of Medicine in 1993

NPI Data:

NPI Number: 1265512982
Provider Enumeration Date: 10/17/2006
Last Update Date: 08/23/2022

Medicare PECOS Information:

PECOS PAC ID: 1759576242
Enrollment ID: I20200219002592

Medical Identifiers

Medical identifiers for Phuong Chi Ly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265512982	NPI	-	NPPES
130542001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	C8448 (Arkansas)	Secondary
207Q00000X	Family Medicine	A53516 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mission Hospital Regional Med Center	Mission viejo, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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. Phuong Chi Ly allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Phuong Chi 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
Phuong Chi Ly, MD 26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691-8018 Ph: (949) 276-2111	Phuong Chi Ly, MD 26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691-8018 Ph: (949) 276-2111

Reviews and Comments

Family Medicine Doctors in Mission Viejo, CA

Dr. Nader A. Ahmad, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 23962 Alicia Pkwy, Saddleback Family & Urgent Care, Mission Viejo, CA 92691 Phone: 949-452-7699 Fax: 949-770-2815
Randall Vincent Ricketts, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 26991 Crown Valley Pkwy, Mission Viejo, CA 92691 Phone: 949-582-5430 Fax: 949-348-9513
Dr. David Alan Craddock, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 27660 Santa Margarita Pkwy, Mission Viejo, CA 92691 Phone: 949-951-7111 Fax: 949-951-2524
Mary Yusook Moon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23512 Madero, Mission Viejo, CA 92691 Phone: 949-583-1600
Sherri Lee Mokuau, Family Medicine Medicare: Medicare Enrolled Practice Location: 23781 Maquina, Mission Viejo, CA 92691 Phone: 888-988-2800
Gail Silver, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23962 Alicia Pkwy, Ste I-1, Mission Viejo, CA 92691 Phone: 949-770-6000
Shenoda Yousef Azmy Abd Elmaseh, Family Medicine Medicare: Medicare Enrolled Practice Location: 26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691 Phone: 949-276-2111

Phuong Chi Ly, MD - Medicare Family Practice in Mission Viejo, CA