Dr John H Upshaw Jr, MD | |
2770 3rd Ave Ste 240, Lake Charles, LA 70601-8994 | |
(337) 494-4656 | |
(337) 494-4657 |
Full Name | Dr John H Upshaw Jr |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 27 Years |
Location | 2770 3rd Ave Ste 240, Lake Charles, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598770869 | NPI | - | NPPES |
MD.023910.R | Other | LA | STATE MEDICAL LICENSE |
1577731 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD.023910.R (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
Christus Ochsner St Patrick Hospital | Lake charles, LA | Hospital |
West Calcasieu Cameron Hospital | Sulphur, LA | Hospital |
Beauregard Memorial Hospital | Deridder, LA | Hospital |
Allen Parish Hospital | Kinder, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Charles Medical Services Urology Llc | 4284738063 | 4 |
Entity Name | Lake Charles Medical Services Urology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558491803 PECOS PAC ID: 4284738063 Enrollment ID: O20070404000154 |
Mailing Address | Practice Location Address |
---|---|
Dr John H Upshaw Jr, MD Po Box 122525 Dept 2525, Dallas, TX 75312-0001 Ph: (337) 494-2921 | Dr John H Upshaw Jr, MD 2770 3rd Ave Ste 240, Lake Charles, LA 70601-8994 Ph: (337) 494-4656 |
Dr. James Jeffery Jancuska, M.D. Urology Medicare: Medicare Enrolled Practice Location: 401 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-436-6100 | |
Dr. Kenneth Steven Verheeck, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 234 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-5282 Fax: 337-433-1159 | |
Dr. Farjaad Siddiq, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1715 Wolf Cir, Lake Charles, LA 70605 Phone: 337-480-7499 Fax: 337-480-7498 | |
Stacy Mcbroom, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 2016 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-477-8861 Fax: 337-477-3092 | |
Reed A Fontenot Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2016 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-477-8861 Fax: 337-477-3092 |