| Stacie Hien Ly, MD | |
|
2176 Salk Ave, Carlsbad, CA 92008-7346 | |
| (760) 827-7200 | |
| Not Available |
| Full Name | Stacie Hien Ly |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 23 Years |
| Location | 2176 Salk Ave, Carlsbad, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114028669 | NPI | - | NPPES |
| 8430456 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00044604 (Washington) | Secondary |
| 207R00000X | Internal Medicine | C154258 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Scripps Memorial Hospital - Encinitas | Encinitas, CA | Hospital |
| Scripps Memorial Hospital La Jolla | La jolla, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scripps Health | 9234033853 | 1388 |
| Entity Name | Scripps Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacie Hien Ly, MD 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705 Ph: (760) 827-7200 | Stacie Hien Ly, MD 2176 Salk Ave, Carlsbad, CA 92008-7346 Ph: (760) 827-7200 |
Mrs. Jazel Ruivivar Sambo, NP Internal Medicine Medicare: Medicare Enrolled Practice Location: 2510 El Camino Real, Carlsbad, CA 92008 Phone: 760-729-8941 | |
Dr. Ronald Hansel Main, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2604b El Camino Real Ste 275, Carlsbad, CA 92008 Phone: 442-888-4176 | |
Andrew J Hall, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2910 Jefferson St Ste 100, Carlsbad, CA 92008 Phone: 760-729-8600 | |
Zachary Thomas Fellows, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6120 Paseo Del Norte Ste C1, Carlsbad, CA 92011 Phone: 760-891-4687 Fax: 760-684-8715 | |
Dr. Reyzan E Shali, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6185 Paseo Del Norte Ste 100, Carlsbad, CA 92011 Phone: 760-940-7000 Fax: 760-940-0042 | |
Isabel J Pereira, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3140 El Camino Real, Carlsbad, CA 92008 Phone: 760-720-9898 |