| Thai Ly, ARNP | |
|
2302 S Union Ave Ste 30, Tacoma, WA 98405-1361 | |
| (253) 365-8074 | |
| Not Available |
| Full Name | Thai Ly |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 2302 S Union Ave Ste 30, Tacoma, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346902509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP61225098 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Assured Home Health | Seattle, WA | Home health agency |
| Kindred At Home | Tacoma, WA | Home health agency |
| Wesley Homes At Home, Llc | Des moines, WA | Home health agency |
| Puget Sound Home Health | Tacoma, WA | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Select Outpatient Services Inc | 4082868815 | 606 |
| Holistic Health And Beyond Pllc | 6901260652 | 2 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Entity Name | Adult Inpatient Medical Services,pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568601722 PECOS PAC ID: 7012064116 Enrollment ID: O20090407000156 |
| Entity Name | Holistic Health & Beyond Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194403402 PECOS PAC ID: 6901260652 Enrollment ID: O20230913002075 |
| Mailing Address | Practice Location Address |
|---|---|
| Thai Ly, ARNP 2302 S Union Ave Ste 30, Tacoma, WA 98405-1361 Ph: (253) 365-8074 | Thai Ly, ARNP 2302 S Union Ave Ste 30, Tacoma, WA 98405-1361 Ph: (253) 365-8074 |
Salome Odja Dockendorf, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402 Phone: 812-870-6728 | |
Barbara L Kapuscinski, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2751 | |
Ms. Christine J. Larsen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3580 Pacific Ave, Tacoma, WA 98418 Phone: 253-798-4500 Fax: 253-798-4493 | |
Rick Hahn, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000 | |
Mrs. Kimberley Anne Burns, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1617 S J St, Tacoma, WA 98405 Phone: 253-274-7504 | |
Randi Marie Berg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Reid St, Tacoma, WA 98431 Phone: 253-968-2315 | |
Marlene I Bridgforth, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 S Cedar St, #301 Cardiac Study Center Inc Ps, Tacoma, WA 98405 Phone: 253-572-7320 Fax: 253-627-3191 |