Dr Ellen D Walthall, MD is a medicare enrolled "Surgery" physician in Sweetwater, Texas. Her current practice location is
301 Jenny George Ln, Sweetwater, Texas. You can reach out to her office (for appointments etc.) via phone at
(325) 236-8886.
Dr Ellen D Walthall is licensed to practice in Texas (license number J0343) 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 1174694707.
Physician's Profile
| Full Name | Dr Ellen D Walthall |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 301 Jenny George Ln, Sweetwater, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ellen D Walthall attended and graduated from in
NPI Data:
- NPI Number: 1174694707
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 01/31/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Ellen D Walthall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174694707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | J0343 (Texas) | Secondary |
| 207Q00000X | Family Medicine | J0343 (Texas) | Secondary |
| 208600000X | Surgery | J0343 (Texas) | Primary |
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 Ellen D Walthall 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 Ellen D Walthall, MD
2162 County Road 1403,
Lometa, TX 76853-3444
Ph: (417) 718-5754 | Dr Ellen D Walthall, MD
301 Jenny George Ln,
Sweetwater, TX 79556-7152
Ph: (325) 236-8886 |
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