Bevan Ly, is a medicare enrolled "Radiology - Radiation Oncology" physician in Weston, Wisconsin. His current practice location is
3501 Cranberry Blvd, Weston, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 393-1000.
Bevan Ly is licensed to practice in Wisconsin (license number 6435320) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730405143.
Physician's Profile
| Full Name | Bevan Ly |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 3501 Cranberry Blvd, Weston, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bevan Ly attended and graduated from in
NPI Data:
- NPI Number: 1730405143
- Provider Enumeration Date: 04/09/2010
- Last Update Date: 03/30/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Bevan Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730405143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0001X | Radiology - Radiation Oncology | 19198 (Hawaii) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 6435320 (Wisconsin) | 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. Bevan 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 |
|---|
Bevan Ly,
3501 Cranberry Blvd,
Weston, WI 54476-5213
Ph: (715) 393-1000 | Bevan Ly,
3501 Cranberry Blvd,
Weston, WI 54476-5213
Ph: (715) 393-1000 |
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