Malica Ly, - Medicare Audiologist in Santa Rosa, CA

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Malica Ly, is a medicare enrolled "Audiologist" provider in Santa Rosa, California. Her current practice location is 4725 Hoen Ave Ste B, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 542-1154.

Malica Ly is licensed to practice in California (license number 13592) 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 1083222988.

Contact Information

Malica Ly,
4725 Hoen Ave Ste B,
Santa Rosa, CA 95405-9405
(707) 542-1154
(707) 542-4818

Map and Direction




Healthcare Provider's Profile

Full NameMalica Ly
GenderFemale
SpecialityAudiologist
Location4725 Hoen Ave Ste B, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083222988
  • Provider Enumeration Date: 07/16/2020
  • Last Update Date: 07/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7911325410
  • Enrollment ID: I20200915003526

Medical Identifiers

Medical identifiers for Malica Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083222988NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 13592 (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. Malica Ly allows following entities to bill medicare on her behalf.
Provider NamePermanente Medical Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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. Malica 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
Malica Ly,
750 N Commons Dr Ste 200,
Aurora, IL 60504-7940

Ph: (630) 303-5380		Malica Ly,
4725 Hoen Ave Ste B,
Santa Rosa, CA 95405-9405

Ph: (707) 542-1154

Reviews and Comments


Audiologist in Santa Rosa, CA

Ms. Maryann Bilecki, M.A.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 2451 Summerfield Rd, Santa Rosa, CA 95405
Phone: 707-523-7025    Fax: 707-523-3024
Dr. Candace Alene Mcghee, AUD.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 4584 Petaluma Hill Rd, Santa Rosa, CA 95404
Phone: 707-570-3814    
Jayme Fellores, AU.D.
Audiologist
Medicare: May Accept Medicare Assignments
Practice Location: 1701 4th St, Suite 120, Santa Rosa, CA 95404
Phone: 707-523-7025    
Alyssa Nicole Carrillo, AU.D.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 3841 Brickway Blvd, Santa Rosa, CA 95403
Phone: 707-569-2300    
Julie Diane Hartz, M.S.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 3333 Mendocino Ave Ste 240, Santa Rosa, CA 95403
Phone: 707-566-5201    Fax: 707-566-5203
Nancy D Warren, AUD
Audiologist
Medicare: Medicare Enrolled
Practice Location: 3333 Mendocino Ave, Suite 240, Santa Rosa, CA 95403
Phone: 707-566-5201    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.