| Dr Ellen D Walthall, MD | |
|
301 Jenny George Ln, Sweetwater, TX 79556-7152 | |
| (325) 236-8886 | |
| (325) 236-8861 |
| Full Name | Dr Ellen D Walthall |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 35 Years |
| Location | 301 Jenny George Ln, Sweetwater, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174694707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | J0343 (Texas) | Secondary |
| 207Q00000X | Family Medicine | J0343 (Texas) | Secondary |
| 208600000X | Surgery | J0343 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ballinger Memorial Hospital | Ballinger, TX | Hospital |
| Fisher County Hospital District | Rotan, TX | Hospital |
| Yoakum County Hospital | Denver city, TX | Hospital |
| W J Mangold Memorial Hospital | Lockney, TX | Hospital |
| Parmer County Community Hospital | Friona, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baylor County Hospital District | 6103739222 | 22 |
| North Runnels County Hospital | 6507757812 | 7 |
| Entity Name | Muenster Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972556009 PECOS PAC ID: 6608785993 Enrollment ID: O20031106000571 |
| Entity Name | Fisher County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104808112 PECOS PAC ID: 2163311465 Enrollment ID: O20040315000096 |
| Entity Name | Sutton County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831140979 PECOS PAC ID: 9032102678 Enrollment ID: O20040407001383 |
| Entity Name | Dallam-hartley Counties Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245353747 PECOS PAC ID: 0143112805 Enrollment ID: O20040428001365 |
| Entity Name | Baylor County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194893263 PECOS PAC ID: 6103739222 Enrollment ID: O20040512000980 |
| Entity Name | Ballinger Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225038938 PECOS PAC ID: 0042200180 Enrollment ID: O20040512001286 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | County Of Yoakum |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790702371 PECOS PAC ID: 3173431491 Enrollment ID: O20060307000793 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| 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 |