| Chheng Ly, | |
|
5309 E State Road 64, Bradenton, FL 34208-5534 | |
| (941) 747-9818 | |
| Not Available |
| Full Name | Chheng Ly |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 5309 E State Road 64, Bradenton, Florida |
| 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 |
|---|---|---|---|
| 1235738204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 58645 (California) | Secondary |
| 363A00000X | Physician Assistant | PA9115734 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Smh Physician Services Inc | 1355240177 | 592 |
| Mailing Address | Practice Location Address |
|---|---|
| Chheng Ly, 101 Riverfront Blvd Ste 710, Bradenton, FL 34205-8812 Ph: (941) 776-4000 | Chheng Ly, 5309 E State Road 64, Bradenton, FL 34208-5534 Ph: (941) 747-9818 |
Marcie Kroska, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-746-5111 Fax: 941-745-7233 | |
Bryan Najjar, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2020 59th St W, Bradenton, FL 34209 Phone: 706-863-9595 Fax: 706-868-8375 | |
Krystina Marian Hadra, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4502 Cortez Rd W Ste 205, Bradenton, FL 34210 Phone: 941-259-8505 Fax: 941-259-8501 | |
Natalie Anne Brown, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2020 59th St W, Bradenton, FL 34209 Phone: 855-863-9595 | |
Katelyn Trepanier, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2210 61st St W, Bradenton, FL 34209 Phone: 941-747-8711 | |
Mr. Daniel H Ober, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 75th St W, Bradenton, FL 34209 Phone: 941-761-1616 Fax: 941-761-3807 | |
Jamie Lee Miller, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8000 Sr 64 E, Bradenton, FL 34212 Phone: 941-792-1404 Fax: 941-761-0712 |