| Ms Allison D Ly, PA-C | |
|
3319 S State Road 7 Ste 102, Wellington, FL 33449-8099 | |
| (561) 333-4000 | |
| (561) 333-8851 |
| Full Name | Ms Allison D Ly |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3319 S State Road 7 Ste 102, Wellington, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255388815 | NPI | - | NPPES |
| 291006300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9100938 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9100938 (Florida) | Primary |
| Entity Name | Phoenix Emergency Medicine of Broward LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871542969 PECOS PAC ID: 5991793002 Enrollment ID: O20040505001132 |
| Entity Name | Florida Em-i Medical Services, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316764988 PECOS PAC ID: 3971417684 Enrollment ID: O20080530000546 |
| Entity Name | Sterling Emergency Services of Miami Beach PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083912471 PECOS PAC ID: 3476553215 Enrollment ID: O20140331000791 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Allison D Ly, PA-C 367 S. Gulph Rd, Attn: Ipm Credentialing, King Of Prussia, PA 19406-3121 Ph: (561) 333-4000 | Ms Allison D Ly, PA-C 3319 S State Road 7 Ste 102, Wellington, FL 33449-8099 Ph: (561) 333-4000 |
Christopher Monteagudo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1961 Primrose Ln, Wellington, FL 33414 Phone: 561-214-3303 |
Justin B Ballard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3347 S State Road 7 Ste 101, Wellington, FL 33449 Phone: 561-790-2111 Fax: 561-296-0436 |
Mrs. Andrea Rae Brockman, MMS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1397 Medical Park Blvd Ste 220, Wellington, FL 33414 Phone: 561-784-0202 |
Emma Claire Scott, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3319 S State Road 7 Ste 207, Wellington, FL 33449 Phone: 561-495-9511 Fax: 561-990-7426 |
Bao Xuan Hoang, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1049 S State Road 7, Wellington, FL 33414 Phone: 561-250-7047 |
Madeleine Prieto, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3319 S State Road 7 Ste 202, Wellington, FL 33449 Phone: 561-847-4751 |
Mr. Samuel Cyril Jr., P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3347 S State Road 7 Ste 101, Wellington, FL 33449 Phone: 561-790-2111 Fax: 561-296-0436 |