Lily Ngoc Phan, - Medicare Nurse Practitioner in Stockbridge, GA

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Lily Ngoc Phan, is a medicare enrolled "Nurse Practitioner - Family" in Stockbridge, Georgia. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aylo Health, Llc, Emory Specialty Associates, Llc, Mi Post Acute Specialists Pc, Post Acute Specialists Llc and her current practice location is 1240 Eagles Landing Pkwy Ste 110, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 389-3855.

Lily Ngoc Phan is licensed to practice in Georgia (license number RN247909) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316432578.

Contact Information

Lily Ngoc Phan,
1240 Eagles Landing Pkwy Ste 110,
Stockbridge, GA 30281-5173
(770) 389-3855
(770) 474-8078

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Provider's Profile

Full NameLily Ngoc Phan
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1240 Eagles Landing Pkwy Ste 110, Stockbridge, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lily Ngoc Phan graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1316432578
  • Provider Enumeration Date: 06/28/2018
  • Last Update Date: 08/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0244667897
  • Enrollment ID: I20200220003146

Medical Identifiers

Medical identifiers for Lily Ngoc Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316432578NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN247909 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Concord Hospital- LaconiaLaconia, NHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aylo Health, Llc8022901925112
Emory Specialty Associates, Llc3476559782706
Mi Post Acute Specialists Pc620426948328
Post Acute Specialists Llc1951676568180

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. Lily Ngoc Phan allows following entities to bill medicare on her behalf.
Entity NameAylo Health, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013018811
PECOS PAC ID: 8022901925
Enrollment ID: O20040204000918
Entity NameEmory Specialty Associates, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20230105001168
Entity NameComplexcare Medical Group Southeast H PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083508238
PECOS PAC ID: 9830693993
Enrollment ID: O20250927000363

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. Lily Ngoc Phan 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
Lily Ngoc Phan,
1240 Eagles Landing Pkwy Ste 110,
Stockbridge, GA 30281-5173

Ph: (770) 389-3855		Lily Ngoc Phan,
1240 Eagles Landing Pkwy Ste 110,
Stockbridge, GA 30281-5173

Ph: (770) 389-3855

Reviews and Comments


Nurse Practitioner Nurses in Stockbridge, GA

Casey R. Black, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281
Phone: 770-213-3366    Fax: 404-962-6943
Ms. Rita Raynel Givens, FNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 830 Eagles Landing Pkwy Ste 204, Stockbridge, GA 30281
Phone: 770-962-3642    Fax: 770-962-3643
Romin Patel,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281
Phone: 000-000-0000    
Ms. Eleasha R Gray, C-FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 165 North Park Trail, Stockbridge, GA 30281
Phone: 770-506-1800    Fax: 770-389-5947
Jeanine Clark, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 175 Medical Blvd, Stockbridge, GA 30281
Phone: 239-443-8018    
Sandra Thomas,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281
Phone: 770-668-3363    
Shanea R Mcdaniel, RN, PMHNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 552 Creek Valley Ct, Stockbridge, GA 30281
Phone: 803-617-9953    

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.