Dr Wilson Oai Ly, PHARMD - Medicare Pharmacist in San Francisco, CA

Dr Wilson Oai Ly, PHARMD is a medicare enrolled "Clinic/center - Adult Day Care" provider in San Francisco, California. His current practice location is 1001 Potrero Ave, Adult Medicine Clinic 1m-3, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (415) 206-8432.

Dr Wilson Oai Ly is licensed to practice in California (license number 59662) 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 1063653582.

Contact Information

Dr Wilson Oai Ly, PHARMD
1001 Potrero Ave, Adult Medicine Clinic 1m-3,
San Francisco, CA 94110-3518
(415) 206-8432
Not Available

Healthcare Provider's Profile

Full NameDr Wilson Oai Ly
GenderMale
SpecialityClinic/center - Adult Day Care
Location1001 Potrero Ave, San Francisco, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063653582
  • Provider Enumeration Date: 03/12/2009
  • Last Update Date: 03/12/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 1355701541
  • Enrollment ID: I20230719003620

Medical Identifiers

Medical identifiers for Dr Wilson Oai Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063653582NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1835P0018XPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist 59662 (California)Secondary
261QA0600XClinic/center - Adult Day Care 59662 (California)Primary
282N00000XGeneral Acute Care Hospital 59662 (California)Secondary

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. Dr Wilson Oai Ly allows following entities to bill medicare on his behalf.
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897

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Entity NameUniversity Anesthesia Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528137296
PECOS PAC ID: 2769370535
Enrollment ID: O20040304001219

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Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513

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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. Dr Wilson Oai 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
Dr Wilson Oai Ly, PHARMD
706 Castro St,
San Francisco, CA 94114-2827

Ph: (626) 675-1984
Dr Wilson Oai Ly, PHARMD
1001 Potrero Ave, Adult Medicine Clinic 1m-3,
San Francisco, CA 94110-3518

Ph: (415) 206-8432

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Clinic/Center in San Francisco, CA


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