Clarence Ly, NP in Upland, CA - Medicare Nurse Practitioner

Clarence Ly, NP is a medicare enrolled "Nurse Practitioner" in Upland, California. His current practice location is 914 W Foothill Blvd Ste B, Upland, California. You can reach out to his office (for appointments etc.) via phone at (909) 982-8944.

Clarence Ly is licensed to practice in California (license number NP95031960) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356154595.

Contact Information

	Clarence Ly, NP
	914 W Foothill Blvd Ste B, Upland, CA 91786-3785
	(909) 982-8944
	(909) 985-0932

Map and Direction

Provider's Profile

Full Name	Clarence Ly
Gender	Male
Speciality	Nurse Practitioner
Location	914 W Foothill Blvd Ste B, Upland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356154595
Provider Enumeration Date: 01/30/2025
Last Update Date: 03/13/2025

Medicare PECOS Information:

PECOS PAC ID: 7517497886
Enrollment ID: I20250217001064

Medical Identifiers

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

Identifier	Type	State	Issuer
1356154595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP95031960 (California)	Primary

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

Entity Name	Mukesh Amin Md & Tejinder Singh Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932106382 PECOS PAC ID: 5092752345 Enrollment ID: O20050408000612

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. Clarence 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
Clarence Ly, NP 914 W Foothill Blvd Ste B, Upland, CA 91786-3785 Ph: (909) 982-8944	Clarence Ly, NP 914 W Foothill Blvd Ste B, Upland, CA 91786-3785 Ph: (909) 982-8944

Reviews and Comments

Nurse Practitioner Nurses in Upland, CA

Stephanie J Rasmussen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811
Yusleydys Panade Roman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1020 W 16th St, Upland, CA 91784 Phone: 626-642-6977
Madonna Zand, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1310 San Bernardino Rd, 205, Upland, CA 91786 Phone: 909-981-9991
Michelle Jessica Carhill, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 585 N Mountain Ave, Upland, CA 91786 Phone: 909-608-7546
Bernice Tan, DNP NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 N 13th Ave Ste 204, Upland, CA 91786 Phone: 909-920-0525
Dani Achi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1655 N Mountain Ave Ste 113, Upland, CA 91784 Phone: 909-377-0030
Nicole Mcdonald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1012 W 11th St, Upland, CA 91786 Phone: 909-244-6177

Clarence Ly, NP - Medicare Nurse Practitioner in Upland, CA