Donna L Ivey, MD is a
Emergency Medicine physician based in Poolville, Texas. Donna L Ivey is licensed to practice in Texas (license number G8194) and her current practice location is 215 Bj Lane, Poolville, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 596-4951.
NPI number for Donna L Ivey is 1336186428 and her current mailing address is Po Box 8549, Fort Worth, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336186428.
Physician's Profile
| Full Name | Donna L Ivey |
|---|
| Gender | Female |
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| Speciality | Emergency Medicine |
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| Location | 215 Bj Lane, Poolville, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336186428
- Provider Enumeration Date: 05/31/2006
- Last Update Date: 03/26/2013
Medical Identifiers
Medical identifiers for Donna L Ivey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336186428 | NPI | - | NPPES |
| 00T90D | Other | TX | BCBS |
| 139483515 | Medicaid | TX | |
| TIN PLUS 005 | Other | TX | TRICARE |
| TIN PLUS 015 | Other | TX | TRICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | G8194 (Texas) | Primary |
| 207R00000X | Internal Medicine | G8194 (Texas) | Secondary |
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. Donna L Ivey is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Donna L Ivey, MD
Po Box 8549,
Fort Worth, TX 76124-0549
Ph: (817) 451-4208 | Donna L Ivey, MD
215 Bj Lane,
Poolville, TX 76487
Ph: (817) 596-4951 |
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