Eddie Ly, MD - Medicare Internal Medicine in Fountain Valley, CA

Eddie Ly, MD is a medicare enrolled "Internal Medicine" physician in Fountain Valley, California. He went to Un Of California, Irvine, College Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Memorialcare Medical Foundation and his current practice location is 17360 Brookhurst St, Fountain Valley, California. You can reach out to his office (for appointments etc.) via phone at (714) 665-1797.

Eddie Ly is licensed to practice in California (license number A159769) 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 1134650922.

Contact Information

Eddie Ly, MD
17360 Brookhurst St,
Fountain Valley, CA 92708-3720
(714) 665-1797
(714) 665-4680

Map and Direction




Physician's Profile

Full NameEddie Ly
GenderMale
SpecialityInternal Medicine
Experience7 Years
Location17360 Brookhurst St, Fountain Valley, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Eddie Ly attended and graduated from Un Of California, Irvine, College Of Medicine in 2017
  NPI Data:
  • NPI Number: 1134650922
  • Provider Enumeration Date: 03/23/2017
  • Last Update Date: 06/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7618205279
  • Enrollment ID: I20200319002197

Medical Identifiers

Medical identifiers for Eddie Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134650922NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist A159769 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207R00000XInternal Medicine A159769 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Long Beach Memorial Medical CenterLong beach, CAHospital
Memorialcare Saddleback Medical CenterLaguna hills, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorialcare Medical Foundation8729277314382

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. Eddie Ly allows following entities to bill medicare on his behalf.
Entity NameMemorialcare Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205167350
PECOS PAC ID: 8729277314
Enrollment ID: O20110113000219

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. Eddie 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
Eddie Ly, MD
17360 Brookhurst Streeet, Attn: Network Management,
Fountain Valley, CA 92708

Ph: (714) 377-2900
Eddie Ly, MD
17360 Brookhurst St,
Fountain Valley, CA 92708-3720

Ph: (714) 665-1797

Reviews and Comments


Internal Medicine Doctors in Fountain Valley, CA

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Dr. Jennifer L Wong, M.D.
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Mr. Satinder Swaroop, MD
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Phone: 714-751-3540    Fax: 714-751-5626
Yu-ming Ni, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 18111 Brookhurst St Ste 5100, Fountain Valley, CA 92708
Phone: 714-546-2238    

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.