Dr. Tracy Lynn Ivy

MD | Pediatric Pulmonology | Female

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Complete Profile:

Dr. Tracy Lynn Ivy basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Pulmonology
Provider Name :	Dr. Tracy Lynn Ivy
Credential :	MD
Gender :	Female

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
Phone Number :	314-454-2694
Fax Number :	314-454-2515

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
NPI Entity Type :	Individual
First Enrolment Date :	11 May, 2009
Last Updated On :	15 Nov, 2021

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
Medicare Enrollment ID :	I20170203001463
Primary Specialty :	Pulmonary Disease
Medical School :	University Of Virginia School Of Medicine
Graduation Year :	2009
Accepts Medicare?	Yes. Dr. Tracy Lynn Ivy accepts medicare insurance.

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
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
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
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).

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
Phone Number :	314-454-2694
Fax Number :	314-454-2515

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.