Ellen Stockton Walraven, MD in Tyler, TX - Medicare Internal Medicine

Ellen Stockton Walraven, MD is a medicare enrolled "Internal Medicine" physician in Tyler, Texas. She went to Baylor College Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Christus Trinity Clinic, Mother Frances Hospital Regional Health Care Center and her current practice location is 520 Douglas Blvd, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 593-1721.

Ellen Stockton Walraven is licensed to practice in Texas (license number H7843) 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 1356398457.

Contact Information

	Ellen Stockton Walraven, MD
	520 Douglas Blvd, Tyler, TX 75702-8307
	(903) 593-1721
	Not Available

Map and Direction

Physician's Profile

Full Name	Ellen Stockton Walraven
Gender	Female
Speciality	Internal Medicine
Experience	41 Years
Location	520 Douglas Blvd, Tyler, 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:

Ellen Stockton Walraven attended and graduated from Baylor College Of Medicine in 1983

NPI Data:

NPI Number: 1356398457
Provider Enumeration Date: 05/27/2006
Last Update Date: 05/08/2017

Medicare PECOS Information:

PECOS PAC ID: 9335104181
Enrollment ID: I20041122000531

Medical Identifiers

Medical identifiers for Ellen Stockton Walraven such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356398457	NPI	-	NPPES
8GQ837	Other	TX	BCBS
75-2616977-007	Other	TX	TRICARE
099129105	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	H7843 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
At Home Healthcare	Henderson, TX	Home health agency
Christus Mother Frances Hospital	Tyler, TX	Hospital
Christus Good Shepherd Medical Center	Longview, TX	Hospital
The University Of Texas Health Science Center At Tyler	Tyler, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1227
Mother Frances Hospital Regional Health Care Center	9234025636	121

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. Ellen Stockton Walraven 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

Entity Name	Mother Frances Hospital Jacksonville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092

Entity Name	Mother Frances Hospital Regional Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042

Entity Name	Hospitalist Medicine Physicians Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20100317001021

Entity Name	Hospitalist Medicine Physicians Of Texas San Marcos Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598244774 PECOS PAC ID: 2961754817 Enrollment ID: O20181004001119

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. Ellen Stockton Walraven 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
Ellen Stockton Walraven, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6400	Ellen Stockton Walraven, MD 520 Douglas Blvd, Tyler, TX 75702-8307 Ph: (903) 593-1721

Reviews and Comments

Internal Medicine Doctors in Tyler, TX

Ifeatu Uchenna Oti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Preetham Reddy Muskula, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Dr. Varalaxmi Bhavani Nannaka, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901
David A Brickey, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914
Randy Craig Randall, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1783 Troup Highway, Tyler, TX 75701 Phone: 903-595-2283 Fax: 903-595-1063
Nabeel K Ahmed, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Dr. Amanda Nicole Long, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 619 S Fleishel Ave, Ste 327, Tyler, TX 75701 Phone: 903-510-1173

Ellen Stockton Walraven, MD - Medicare Internal Medicine in Tyler, TX