| Amanda Van Ly, DO | |
|
584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862 | |
| (916) 250-2596 | |
| (916) 550-5025 |
| Full Name | Amanda Van Ly |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 7 Years |
| Location | 584 N Sunrise Ave Ste 100, Roseville, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417443334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 5101024118 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Of Folsom | Folsom, CA | Hospital |
| Sutter Roseville Medical Center | Roseville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sierra Medical Partnership | 7810321858 | 16 |
| Entity Name | Sierra Medical Partnership |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568015808 PECOS PAC ID: 7810321858 Enrollment ID: O20191227000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Van Ly, DO 1625 Creekside Dr Ste 202, Folsom, CA 95630-3819 Ph: (916) 663-2100 | Amanda Van Ly, DO 584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862 Ph: (916) 250-2596 |
Dr. Joseph Nicholas Logarbo, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1000 | |
Shumaila Syed, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr Ste 130, Roseville, CA 95661 Phone: 916-773-8750 Fax: 916-773-8751 | |
Dr. Jay C Owens, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3 Medical Plaza Dr, Suite 130, Roseville, CA 95661 Phone: 916-773-8750 Fax: 916-773-8751 | |
Jonathan W. Wardell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Dr. Colton Reed Lynn, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1000 | |
Dmitri V Gelfand, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr, #130, Roseville, CA 95661 Phone: 916-773-8750 | |
Dr. Thomas Joseph Curran, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 |