Active NPI
Bethany K Lam, PA
- Medical Physician Assistant
- Orlando, FL
National Provider Identifier
1528166550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9103894
- Practice address
- 21 W Columbia St
Orlando, FL 32806-1133 - Phone
- (321) 841-5560
- Fax
- (407) 425-5947
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9103894 | FL | Primary |
Addresses
Primary practice location
21 W Columbia St
Orlando, FL 32806-1133
Mailing address
21 W Columbia St
Orlando, FL 32806-1133
Phone (321) 841-5560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292662800 | Medicaid | FL |
Other names 1
- Binh K Ly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.2 of 100
- Quality
- 78.64
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9103894 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Inc | Current | Accepting new patients | |
| Clover Emergency Physicians LLC | Past | Accepting new patients | |
| Florida Em-I Medical Services PA | Past | Accepting new patients |
Locations
1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000
1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
Interoperability endpoints
- blam125797@direct.nemours.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1285686675
-
- Emergency Medicine Physician
- Orlando, FL
- NPI 1326033341
-
- Emergency Medicine Physician
- Brunswick, GA
- NPI 1477001972
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1891744736
-
- Emergency Medicine Physician
- Lakeland, FL
- NPI 1871542720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1528166550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 W COLUMBIA ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061133",
"telephone_number": "321-841-5560",
"fax_number": "407-425-5947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 W COLUMBIA ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061133",
"telephone_number": "321-841-5560",
"fax_number": "407-425-5947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "BETHANY",
"middle_name": "K",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9103894",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292662800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BINH",
"last_name": "LY",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.