Dr Sylvanus Ly, DO in Shreveport, LA - Medicare Family Medicine

Dr Sylvanus Ly, DO is a medicare enrolled "Family Medicine" physician in Shreveport, Louisiana. His current practice location is 7925 Youree Dr Ste 200, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 212-3610.

Dr Sylvanus Ly is licensed to practice in Louisiana (license number 337049) 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 1053977579.

Contact Information

	Dr Sylvanus Ly, DO
	7925 Youree Dr Ste 200, Shreveport, LA 71105-5134
	(318) 212-3610
	(318) 212-3709

Map and Direction

Physician's Profile

Full Name	Dr Sylvanus Ly
Gender	Male
Speciality	Family Medicine
Location	7925 Youree Dr Ste 200, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053977579
Provider Enumeration Date: 05/10/2019
Last Update Date: 08/25/2023

Medicare PECOS Information:

PECOS PAC ID: 1658606801
Enrollment ID: I20231005002155

Medical Identifiers

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

Identifier	Type	State	Issuer
1053977579	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	337049 (Louisiana)	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. Dr Sylvanus Ly allows following entities to bill medicare on his behalf.

Entity Name	Wk Orthopedic Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780612119 PECOS PAC ID: 9436174489 Enrollment ID: O20051010000591

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. Dr Sylvanus 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
Dr Sylvanus Ly, DO 7925 Youree Dr Ste 200, Shreveport, LA 71105-5134 Ph: (318) 212-3610	Dr Sylvanus Ly, DO 7925 Youree Dr Ste 200, Shreveport, LA 71105-5134 Ph: (318) 212-3610

Reviews and Comments

Family Medicine Doctors in Shreveport, LA

Ratnam Baby Nagalla, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 870 Olive St, Shreveport, LA 71104 Phone: 318-629-0480 Fax: 318-629-0483
David Juston Colvin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8383 Millicent Way, Shreveport, LA 71115 Phone: 318-797-6661 Fax: 318-795-8512
Susan Michelle Self, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr, Suite 540, Shreveport, LA 71115 Phone: 318-212-3810 Fax: 318-212-3815
Dr. Kirk Anthony Grantham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2530 Bert Kouns Loop, Suite 138, Shreveport, LA 71118 Phone: 318-588-4726 Fax: 318-900-7828
Ayesha Tabassom, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833
David Henry, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7813 Youree Dr, Shreveport, LA 71105 Phone: 318-212-3830 Fax: 318-212-3835
Ammar Husan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000

Dr Sylvanus Ly, DO - Medicare Family Medicine in Shreveport, LA