Kathy Shum Ellington, DO in Tyler, TX - Medicare Obstetrics/gynecology

Kathy Shum Ellington, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Tyler, Texas. She went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2020 and has 6 years of diverse experience with area of expertise as Obstetrics/gynecology. Her current practice location is 2017 Rickety Ln, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 533-8811.

Kathy Shum Ellington is licensed to practice in Texas (license number V1617) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1891316147.

Contact Information

	Kathy Shum Ellington, DO
	2017 Rickety Ln, Tyler, TX 75703-1706
	(903) 533-8811
	(903) 593-5511

Map and Direction

Physician's Profile

Full Name	Kathy Shum Ellington
Gender	Female
Speciality	Obstetrics/gynecology
Experience	6 Years
Location	2017 Rickety Ln, Tyler, Texas
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathy Shum Ellington attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2020

NPI Data:

NPI Number: 1891316147
Provider Enumeration Date: 04/28/2020
Last Update Date: 06/29/2026

Medicare PECOS Information:

PECOS PAC ID: 6901229806
Enrollment ID: I20240711004001

Medical Identifiers

Medical identifiers for Kathy Shum Ellington such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891316147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	V1617 (Texas)	Primary

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. Kathy Shum Ellington allows following entities to bill medicare on her behalf.

Entity Name	Stella Mattina Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487301230 PECOS PAC ID: 5294116091 Enrollment ID: O20220725001732

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. Kathy Shum Ellington 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
Kathy Shum Ellington, DO 2017 Rickety Ln, Tyler, TX 75703-1706 Ph: (903) 533-8811	Kathy Shum Ellington, DO 2017 Rickety Ln, Tyler, TX 75703-1706 Ph: (903) 533-8811

Reviews and Comments

Obstetrics & Gynecology Doctors in Tyler, TX

Ralph James Turner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 825 Medical Dr Ste A, Tyler, TX 75701 Phone: 903-758-2610 Fax: 903-758-7081
Dr. Heather Lynn Scott Pulaski, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 501 Saunders Ave Ste 310, Tyler, TX 75702 Phone: 903-579-9800 Fax: 903-592-5988
Dr. James Brant Buchinger, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 520 Douglas Blvd, Tyler, TX 75702 Phone: 903-597-2002 Fax: 903-525-2778
Dr. Jessica Clifton Charest, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 602, Tyler, TX 75701 Phone: 903-593-2468 Fax: 903-525-3631
Elise Alexandra Elliott, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2017 Rickety Ln, Tyler, TX 75703 Phone: 903-533-8811
Mojirayo A. Sarumi, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 620 S Fleishel Ave, Tyler, TX 75701 Phone: 903-606-4900 Fax: 903-606-4699
Dr. William W Miller, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1720 S Beckham Ave Ste 104, Tyler, TX 75701 Phone: 903-593-1721

Kathy Shum Ellington, DO - Medicare Obstetrics/gynecology in Tyler, TX