Dr. Tracy Lynn Ivy
MD | Pediatric Pulmonology | Female
Dr. Tracy Lynn Ivy, MD is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
Pediatric Pulmonology.
Current practice location of Dr. Tracy Lynn Ivy is
1 Childrens Pl, Div Ped Allergy/immuno/pulmo, Saint Louis, Missouri - 63110-1002. She can be contacted on phone at
314-454-2694 and fax number 314-454-2515.
Dr. Tracy Lynn Ivy is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Tracy Lynn Ivy is
1710111331 which was assigned by NPPES on 11 May, 2009 and it was last updated on 15 Nov, 2021.
Dr. Tracy Lynn Ivy license number is
2015008494 for Pediatrics Pediatric Pulmonology (2080P0214X) in Missouri.
Dr. Tracy Lynn Ivy is dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Complete Profile:
Dr. Tracy Lynn Ivy basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Pulmonology |
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| Provider Name : | Dr. Tracy Lynn Ivy |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Tracy Lynn Ivy address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Childrens Pl, Div Ped Allergy/immuno/pulmo
Saint Louis, MO, 63110-1002
United States |
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| Phone Number : | 314-454-2694 |
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| Fax Number : | 314-454-2515 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1710111331 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 May, 2009 |
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| Last Updated On : | 15 Nov, 2021 |
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Medicare Participation:
Dr. Tracy Lynn Ivy participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6406157064 |
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| Medicare Enrollment ID : | I20170203001463 |
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| Primary Specialty : | Pulmonary Disease |
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| Medical School : | University Of Virginia School Of Medicine |
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| Graduation Year : | 2009 |
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| Accepts Medicare? | Yes. Dr. Tracy Lynn Ivy accepts medicare insurance. |
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Group Practice Association:
Dr. Tracy Lynn Ivy is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Tracy Lynn Ivy is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Washington University | 9830008770 | 2383 | 1 Childrens Pl
Saint Louis, MO - 631101002 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Tracy Lynn Ivy are as mentioned. Primary taxonomy code for Dr. Tracy Lynn Ivy, MD is
2080P0214X (Pediatrics Pediatric Pulmonology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 2015008494 | MO |
| 2080P0214X | Pediatrics Pediatric Pulmonology | Yes | 2015008494 | MO |
| 2080S0012X | Pediatrics Sleep Medicine | No | 2015008494 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Tracy Lynn Ivy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 200031877 | MEDICAID | MO | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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FHIR
(FHIR URL) | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
| |
|
| 1 CHILDRENS PL, DIV PED ALLERGY/IMMUNO/PULMO
SAINT LOUIS, MO, 63110-1002
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Childrens Pl, Msc 8515-87-1200
Saint Louis, MO, 63110-1002
United States |
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| Phone Number : | 314-454-2694 |
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| Fax Number : | 314-454-2515 |
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Business Location:
Patients can refer following map for directions to
Dr. Tracy Lynn Ivy practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.