Ellisa Krumm, MD - Medicare in Fort Worth, TX

Ellisa Krumm, MD is a medicare enrolled "Family Medicine" physician in Fort Worth, Texas. Her current practice location is 1500 S Main St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 702-1204.

Ellisa Krumm is licensed to practice in Texas (license number Q2699) 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 1124105457.

Contact Information

Ellisa Krumm, MD
1500 S Main St,
Fort Worth, TX 76104-4917
(817) 702-1204
Not Available



Physician's Profile

Full NameEllisa Krumm
GenderFemale
Speciality
Experience Years
Location1500 S Main St, Fort Worth, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ellisa Krumm attended and graduated from in
  NPI Data:
  • NPI Number: 1124105457
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 06/06/2017
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Ellisa Krumm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124105457NPI-NPPES
1513688MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 45018 (Tennessee)Secondary
207Q00000XFamily Medicine LL28867 (South Carolina)Secondary
207Q00000XFamily Medicine Q2699 (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. Ellisa Krumm 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 AddressPractice Location Address
Ellisa Krumm, MD
1500 S Main St,
Fort Worth, TX 76104-4917

Ph: (817) 702-1204
Ellisa Krumm, MD
1500 S Main St,
Fort Worth, TX 76104-4917

Ph: (817) 702-1204

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Family Medicine Doctors in Fort Worth, TX

Jonathan A Lazarini, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1500 S Main St, Fort Worth, TX 76104
Phone: 903-353-2265    
Mrs. Adeline Galvez,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104
Phone: 817-250-4987    
Fomundam Newnton Mbuh, NP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4759 South Fwy Ste 101, Fort Worth, TX 76115
Phone: 817-382-0005    
Dr. Joane Baumer, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1500 S Main St, Family Medicine Center, Fort Worth, TX 76104
Phone: 817-335-1034    
Evelyn Tobias-merrill, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2825 Stadium Dr, Fort Worth, TX 76109
Phone: 817-257-7940    
Dr. Michael David Carletti, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 855 Montgomery St, Fort Worth, TX 76107
Phone: 817-735-0278    
Jonathan Patrick Angel, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 N Beach St Ste 104, Fort Worth, TX 76111
Phone: 817-831-1750    Fax: 817-831-1750

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