Dr Karla Renise Ivy, DO in Jbsa Randolph, TX

Dr Karla Renise Ivy, DO is a medicare enrolled "Family Medicine" physician in Jbsa Randolph, Texas. She went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2015 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Christus Trinity Clinic and her current practice location is 221 3rd St W Bldg 1040, Jbsa Randolph, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 652-5363.

Dr Karla Renise Ivy is licensed to practice in Nebraska (license number 1745) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780066035.

Contact Information

	Dr Karla Renise Ivy, DO
	221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800
	(210) 652-5363
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Karla Renise Ivy
Gender	Female
Speciality	Family Practice
Experience	11 Years
Location	221 3rd St W Bldg 1040, Jbsa Randolph, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Karla Renise Ivy attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2015

NPI Data:

NPI Number: 1780066035
Provider Enumeration Date: 06/23/2015
Last Update Date: 06/24/2022

Medicare PECOS Information:

PECOS PAC ID: 6002105178
Enrollment ID: I20220715000278

Medical Identifiers

Medical identifiers for Dr Karla Renise Ivy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780066035	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	1745 (Nebraska)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Santa Rosa Medical Center	San antonio, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1246

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 Karla Renise Ivy allows following entities to bill medicare on her behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

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 Karla Renise Ivy 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 Address	Practice Location Address
Dr Karla Renise Ivy, DO 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 Ph: (210) 652-5363	Dr Karla Renise Ivy, DO 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 Ph: (210) 652-5363

Reviews and Comments

Family Medicine Doctors in Jbsa Randolph, TX

Andrew Pellegrin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 210-652-8544
Mary Temitope Ileso, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 210-652-4127
Jessica-renee Gamboa, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 221 3rd St W, Jbsa Randolph, TX 78150 Phone: 210-652-8544
Dr. William I Lin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 830-298-6538
Dr. Kasey Carl Welch, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 210-652-4264
Dr. Lashika Deshaun Sneed, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 210-652-0000
Dr. Cecelia Mariko Luda, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 221 3rd St W, Jbsa Randolph, TX 78150 Phone: 210-565-0685

Dr Karla Renise Ivy, DO - Medicare Family Practice in Jbsa Randolph, TX