Andrew T Ly, DO is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Olathe, Kansas. His current practice location is
20333 W 151st St, Olathe, Kansas. You can reach out to his office (for appointments etc.) via phone at
(913) 588-1227.
Andrew T Ly is licensed to practice in Kansas (license number 05-45588) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619472255.
Physician's Profile
| Full Name | Andrew T Ly |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 20333 W 151st St, Olathe, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619472255
- Provider Enumeration Date: 03/27/2018
- Last Update Date: 12/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 2668720939
- Enrollment ID: I20180802000850
Medical Identifiers
Medical identifiers for Andrew T Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619472255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZC0500X | Pathology - Cytopathology | 05-45588 (Kansas) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 05-45588 (Kansas) | Primary |
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. Andrew T 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 |
Andrew T Ly, DO 20333 W 151st St, Olathe, KS 66061-5350 Ph: () - | Andrew T Ly, DO 20333 W 151st St, Olathe, KS 66061-5350 Ph: (913) 588-1227 |
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