Ms Katherine Diane Ellis, CNM is a medicare enrolled "Advanced Practice Midwife" in Gainesville, Texas. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Gainesville Community Hospital Inc and her current practice location is
1902 Hospital Blvd, Gainesville, Texas. You can reach out to her office (for appointments etc.) via phone at
(940) 612-8750.
Ms Katherine Diane Ellis is licensed to practice in Texas (license number 654072) 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 1720295652.
Provider's Profile
| Full Name | Ms Katherine Diane Ellis |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 25 Years |
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| Location | 1902 Hospital Blvd, Gainesville, 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:
- Ms Katherine Diane Ellis graduated from nursing school in 1999
NPI Data:
- NPI Number: 1720295652
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 10/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385701366
- Enrollment ID: I20090318000338
Medical Identifiers
Medical identifiers for Ms Katherine Diane Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720295652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 654072 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gainesville Community Hospital Inc | 6002150729 | 12 |
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. Ms Katherine Diane Ellis allows following entities to bill medicare on her behalf.
| Entity Name | Gainesville Community Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033687900
PECOS PAC ID: 6002150729
Enrollment ID: O20190122001015 |
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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. Ms Katherine Diane Ellis 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 |
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Ms Katherine Diane Ellis, CNM
1900 Hospital Blvd,
Gainesville, TX 76240-2002
Ph: (940) 665-1751 | Ms Katherine Diane Ellis, CNM
1902 Hospital Blvd,
Gainesville, TX 76240-2007
Ph: (940) 612-8750 |
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