Elizabeth Ly, DMD - Medicare Dentist in Irvine, CA

Elizabeth Ly, DMD is a medicare enrolled "Dentist - General Practice" provider in Irvine, California. Her current practice location is 17010 Red Hill Ave Ste D, Irvine, California. You can reach out to her office (for appointments etc.) via phone at (949) 975-0150.

Elizabeth Ly is licensed to practice in California (license number DDS104926) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316504400.

Contact Information

Elizabeth Ly, DMD
17010 Red Hill Ave Ste D,
Irvine, CA 92614-5626
(949) 975-0150
Not Available



Healthcare Provider's Profile

Full NameElizabeth Ly
GenderFemale
SpecialityDentist - General Practice
Location17010 Red Hill Ave Ste D, Irvine, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316504400
  • Provider Enumeration Date: 05/23/2019
  • Last Update Date: 09/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002269438
  • Enrollment ID: I20240201000621

Medical Identifiers

Medical identifiers for Elizabeth Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316504400NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DS042750 (Pennsylvania)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
1223G0001XDentist - General Practice DDS104926 (California)Primary

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. Elizabeth 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 AddressPractice Location Address
Elizabeth Ly, DMD
22992 Lovios,
Mission Viejo, CA 92691-2133

Ph: (714) 383-0100
Elizabeth Ly, DMD
17010 Red Hill Ave Ste D,
Irvine, CA 92614-5626

Ph: (949) 975-0150

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Phone: 949-857-9220    Fax: 949-857-4327
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