Amanda Van Ly, DO in Roseville, CA

Amanda Van Ly, DO is a medicare enrolled "Surgery" physician in Roseville, California. Her current practice location is 584 N Sunrise Ave Ste 100, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (916) 250-2596.

Amanda Van Ly is licensed to practice in Michigan (license number 5101024118) 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 1417443334.

Contact Information

	Amanda Van Ly, DO
	584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862
	(916) 250-2596
	(916) 550-5025

Map and Direction

Physician's Profile

Full Name	Amanda Van Ly
Gender	Female
Speciality	Surgery
Location	584 N Sunrise Ave Ste 100, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417443334
Provider Enumeration Date: 07/03/2018
Last Update Date: 07/21/2023

Medicare PECOS Information:

PECOS PAC ID: 0244589844
Enrollment ID: I20230816002701

Medical Identifiers

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

Identifier	Type	State	Issuer
1417443334	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	5101024118 (Michigan)	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. Amanda Van Ly allows following entities to bill medicare on her behalf.

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

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. Amanda Van 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
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

Reviews and Comments

Surgery Doctors in Roseville, CA

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

Amanda Van Ly, DO - Medicare Surgery in Roseville, CA