Kevin Ly, in Bloomsburg, PA - Medicare Family Practice

Kevin Ly, is a medicare enrolled "Family Medicine" physician in Bloomsburg, Pennsylvania. He graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Geisinger Clinic and his current practice location is 240 Mall Blvd, Bloomsburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 784-8303.

Kevin Ly is licensed to practice in Pennsylvania (license number MD475200) 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 1720564289.

Contact Information

	Kevin Ly,
	240 Mall Blvd, Bloomsburg, PA 17815-8306
	(570) 784-8303
	(570) 387-5030

Map and Direction

Physician's Profile

Full Name	Kevin Ly
Gender	Male
Speciality	Family Practice
Experience	7 Years
Location	240 Mall Blvd, Bloomsburg, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kevin Ly graduated from medical school in 2018

NPI Data:

NPI Number: 1720564289
Provider Enumeration Date: 07/17/2018
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 7719384577
Enrollment ID: I20210921001373

Medical Identifiers

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

Identifier	Type	State	Issuer
1720564289	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD475200 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Geisinger Medical Center	Danville, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Geisinger Clinic	5395657001	3078

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. Kevin Ly allows following entities to bill medicare on his behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

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. Kevin 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
Kevin Ly, 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 784-8303	Kevin Ly, 240 Mall Blvd, Bloomsburg, PA 17815-8306 Ph: (570) 784-8303

Reviews and Comments

Family Medicine Doctors in Bloomsburg, PA

Dr. Chris Mansel O'neil, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6850 Lows Rd, Ste 325, Bloomsburg, PA 17815 Phone: 570-784-5545 Fax: 570-245-0240
Dr. Dean A. Christian, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2407 Reichart Rd, Bloomsburg, PA 17815 Phone: 570-784-8303 Fax: 570-387-5030
Mr. Timothy James Dennen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 240 Mall Blvd, Bloomsburg, PA 17815 Phone: 570-416-5435 Fax: 570-416-5436
Dr. Dennis M. Sheehe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Mall Blvd, Bloomsburg, PA 17815 Phone: 570-784-8303 Fax: 570-387-5030
Gordon Alexander Haskell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 549 E Fair St, Bloomburg Hospital, Bloomsburg, PA 17815 Phone: 717-387-2115
Dr. Catherine Alexandra Oneil, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6850 Lows Rd Ste 325b, Bloomsburg, PA 17815 Phone: 570-784-5545 Fax: 570-245-0240
Dr. Ernest W. Campbell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2407 Reichart Rd, Bloomsburg, PA 17815 Phone: 570-784-8303 Fax: 570-387-5030

Kevin Ly, - Medicare Family Practice in Bloomsburg, PA