Dr Uyen T Ly, MD - Medicare Family Practice in Occidental, CA

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Dr Uyen T Ly, MD is a medicare enrolled "Family Medicine" physician in Occidental, California. She went to University Of Washington School Of Medicine and graduated in 2000 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 3802 Main Street, Occidental, California. You can reach out to her office (for appointments etc.) via phone at (707) 874-2444.

Dr Uyen T Ly is licensed to practice in California (license number A76278) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700889128.

Contact Information

Dr Uyen T Ly, MD
3802 Main Street,
Occidental, CA 95465
(707) 874-2444
(707) 874-1664

Map and Direction




Physician's Profile

Full NameDr Uyen T Ly
GenderFemale
SpecialityFamily Practice
Experience25 Years
Location3802 Main Street, Occidental, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Uyen T Ly attended and graduated from University Of Washington School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1700889128
  • Provider Enumeration Date: 05/31/2005
  • Last Update Date: 01/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3971581810
  • Enrollment ID: I20040708000807

Medical Identifiers

Medical identifiers for Dr Uyen T Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700889128NPI-NPPES
FHC03899GMedicaidCA
ZZZ23666ZOtherCABLUE SHIELD PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A76278 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc89219102258867

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 Uyen T Ly allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameSanta Rosa Community Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578631172
PECOS PAC ID: 0345130423
Enrollment ID: O20040319001444

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 Uyen 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 AddressPractice Location Address
Dr Uyen T Ly, MD
Po Box 1449,
Guerneville, CA 95446-1449

Ph: (707) 874-2444		Dr Uyen T Ly, MD
3802 Main Street,
Occidental, CA 95465

Ph: (707) 874-2444

Reviews and Comments


Family Medicine Doctors in Occidental, CA

Dr. Victoria Davis, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3802 Main Street, Occidental, CA 95465
Phone: 707-874-2444    Fax: 707-874-1664
Dr. Trina Bowen, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3802 Main Street, Occidental, CA 95465
Phone: 707-874-2444    Fax: 707-874-1664

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.