Nicole Ly, MSW, MPH in Riverside, CA - Medicare Social Worker Provider

Nicole Ly, MSW, MPH is a medicare enrolled "Social Worker - Clinical" provider in Riverside, California. Her current practice location is 3950 Reynolds Rd, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 358-4466.

Nicole Ly is licensed to practice in * (Not Available) (license number ) 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 1891447066.

Contact Information

	Nicole Ly, MSW, MPH
	3950 Reynolds Rd, Riverside, CA 92503-3517
	(951) 358-4466
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Ly
Gender	Female
Speciality	Social Worker - Clinical
Location	3950 Reynolds Rd, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891447066
Provider Enumeration Date: 01/19/2022
Last Update Date: 03/01/2024

Medicare PECOS Information:

PECOS PAC ID: 2769908805
Enrollment ID: I20250501000649

Medical Identifiers

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

Identifier	Type	State	Issuer
1891447066	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Nicole Ly allows following entities to bill medicare on her behalf.

Entity Name	Cyti Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679172290 PECOS PAC ID: 4587012950 Enrollment ID: O20231122002919

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. Nicole 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
Nicole Ly, MSW, MPH 1614 S 6th St Apt A, Alhambra, CA 91803-3453 Ph: (626) 262-3421	Nicole Ly, MSW, MPH 3950 Reynolds Rd, Riverside, CA 92503-3517 Ph: (951) 358-4466

Reviews and Comments

Social Worker in Riverside, CA

Mrs. Jacqueline S Ashley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7140 Indiana Ave, Riverside, CA 92504 Phone: 951-358-6000
Cristina Flores Hubb, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3499 10th St, Riverside, CA 92501 Phone: 951-955-1560
Jessica Elizabeth Wilinski, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2085 Rustin Ave Bldg 4, Riverside, CA 92507 Phone: 951-955-8000
Lisa Stokes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4996 La Sierra Ave, Riverside, CA 92505 Phone: 951-525-3752
Deren Leland Mikels, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5015 Canyon Crest Dr, Suite 102, Riverside, CA 92507 Phone: 951-529-3692 Fax: 951-346-3780
Mrs. Kristin Jean Miller, M.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2085 Rustin Ave, Riverside, CA 92507 Phone: 951-715-5040 Fax: 951-784-4976
Luis Roberto Bravo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1827 Atlanta Ave Ste D3, Riverside, CA 92507 Phone: 951-955-8000

Nicole Ly, MSW, MPH - Medicare Clinical Social Worker in Riverside, CA